Individual provider Active NPI

Susan M. Cantele, M.S., CCC

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1710086103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1388 Issued in KS
Practice address
8823 E Clubside CT
Wichita, KS 67206-4036
Phone
(316) 636-2694
Fax
(316) 681-0994
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1388 KS Primary

Addresses

Primary practice location

8823 E Clubside CT
Wichita, KS 67206-4036

Mailing address

8823 E Clubside CT
Wichita, KS 67206-4036
Phone (316) 636-2694

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1388KSMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710086103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 E CLUBSIDE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064036",
            "telephone_number": "316-636-2694",
            "fax_number": "316-681-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 E CLUBSIDE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064036",
            "telephone_number": "316-636-2694",
            "fax_number": "316-681-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTELE",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.