Michele Brungardt, SLP – Speech-Language Pathologist

Key facts

NPI: 1669791968
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 20090229444 (MO)
Practice address: 7703 NW Barry Rd
Kansas City, MO 64153-1731
Phone: (816) 359-4050
Fax: (816) 359-4059
NPI assigned: May 26, 2010
Sex: Female
Sole proprietor: Yes

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.

Park Hill School District Local Education Agency (LEA) · Kansas City, MO · NPI 1003130576

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
20090229444	MO	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Park Hill School District		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	20090229444	MO	Yes

Addresses

Primary practice location

7703 NW Barry Rd
Kansas City, MO 64153-1731

Mailing address

7703 NW Barry Rd
Kansas City, MO 64153-1731
Phone (816) 359-4050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 26, 2010.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1669791968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531731",
            "telephone_number": "816-359-4050",
            "fax_number": "816-359-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531731",
            "telephone_number": "816-359-4050",
            "fax_number": "816-359-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGARDT",
        "first_name": "MICHELE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "20090229444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

All providers in Kansas City, MO · Speech-Language Pathologist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.