Individual provider Active NPI

Paige Fortney Bushnell, M.A, CCC-SLP

  • Speech-Language Pathologist
  • Raytown, MO
National Provider Identifier
1669875431
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6608 Raytown Rd
Raytown, MO 64133-5240
Phone
(816) 268-7000
NPI assigned
Oct 7, 2014
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6608 Raytown Rd
Raytown, MO 64133-5240

Mailing address

1633 SE 5TH St
Lees Summit, MO 64063-6152
Phone (816) 809-7317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308000327 MO Practitioner - Qualified Speech Language Pathologist 2264826270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc Speech-Language Pathologist CurrentSince Dec 1, 2021 Accepting new patients
School District 2 Raytown Consolidated Past Accepting new patients

Locations

10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518

5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1669875431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 SE 5TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640636152",
            "telephone_number": "816-809-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335240",
            "telephone_number": "816-268-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHNELL",
        "first_name": "PAIGE",
        "middle_name": "FORTNEY",
        "credential": "M.A, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.