Active NPI
Cynthia M Bamaze, M.S. CCC-SLP
- Speech/Language/Hearing Specialist/Technologist
- Overland Park, KS
National Provider Identifier
1669622346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- 1131
- Practice address
- 10300 W 103Rd St Ste 300
Quantum Health Professionals
Overland Park, KS 66214 - Phone
- (913) 894-1910
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 09147436 | NE | |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 1131 | NE | Primary |
Addresses
Primary practice location
10300 W 103Rd St Ste 300
Quantum Health Professionals
Overland Park, KS 66214
Mailing address
15510 Camden Ave
Omaha, NE 68116-8450
Phone (402) 320-4108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131 | Other | NE | STATE LICENSE |
Other names 1
- Cindy M Bamaze
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1131 | NE | MD | Physical Therapy Assistant |
| 09147436 | NE | MD | Speech/Language/Hearing Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1669622346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15510 CAMDEN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168450",
"telephone_number": "402-320-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST STE 300",
"address_2": "QUANTUM HEALTH PROFESSIONALS",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66214",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMAZE",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NE",
"license": "09147436",
"primary": false
},
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NE",
"license": "1131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1131",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "BAMAZE",
"middle_name": "M",
"credential": "M.S. CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.