Shelle Diane Peek, SLP, CCC
Individual provider Active NPI Speech-Language Pathologist · Auburn, KS
NPI 1689419012 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1689419012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4370 (KS)
- Practice address
- 1338 N School St
Auburn, KS 66402-9489 - Phone
- (785) 249-2156
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Missouri LLC
Empowerme Wellness Kansas City, LLC
Practice addresses (Care Compare)
2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220
4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729000092 | KS | Practitioner - Qualified Speech Language Pathologist | 5092251991 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4370 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients |
Locations
2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4370 | KS | Yes |
Addresses
Primary practice location
1338 N School St
Auburn, KS 66402-9489
Mailing address
6732 SW 17TH St
Topeka, KS 66615-1169
Phone (785) 553-9975
Other providers in Auburn, KS
- Czerna Dreher
- Dana Ellis
- Ronald Leon Katzer
- Jody K Koerner
- On Target Case Management LLC
- Positive Behavior Supports Corp
- S & L Ranch, LLC
- Camille Taylor
- Deedra A Truschinger
- Valley Springs Assisted Living Operations, LLC
All providers in Auburn, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.