Individual provider Active NPI

Hunter Todd Feaster, PSYD

  • Clinical Neuropsychologist
  • Lenexa, KS
National Provider Identifier
1669477204
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
LP1161 Issued in KS
Practice address
8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505
Phone
(913) 894-1500
Fax
(913) 894-1502
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X LP1161 KS Primary
Clinical Neuropsychologist 103G00000X 2002007821 MO

Addresses

Primary practice location

8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505

Mailing address

8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505
Phone (913) 894-1500

Other identifiers 4

IdentifierTypeStateIssuer
30946011OtherBCBS KANSAS CITY
542516OtherHEALTHLINK-NCPPO
2098885OtherCIGNA BEHAVIORAL
10001037600OtherCOMMUNITY HEALTH PLAN MO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP1161KSMDClinical Neuropsychologist
2002007821MOMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Neurology, PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/583/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1669477204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-894-1500",
            "fax_number": "913-894-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-894-1500",
            "fax_number": "913-894-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "HUNTER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KS",
            "license": "LP1161",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2002007821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "30946011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK-NCPPO",
            "identifier": "542516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL",
            "identifier": "2098885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN MO",
            "identifier": "10001037600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.