Active NPI
Hunter Todd Feaster, PSYD
- Clinical Neuropsychologist
- Lenexa, KS
National Provider Identifier
1669477204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- LP1161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30946011 | Other | BCBS KANSAS CITY | |
| 542516 | Other | HEALTHLINK-NCPPO | |
| 2098885 | Other | CIGNA BEHAVIORAL | |
| 10001037600 | Other | COMMUNITY 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
| License | State | Type | Specialty |
|---|---|---|---|
| LP1161 | KS | MD | Clinical Neuropsychologist |
| 2002007821 | MO | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Neurology, PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Neurology Physician
- Lenexa, KS
- NPI 1134124746
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.