Active NPI
Jeanette Suzanne Walther, MA CCC-SLP
- Speech-Language Pathologist
- Lawrence, KS
National Provider Identifier
1710327630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2410
- Practice address
- 325 Maine St
Lawrence, KS 66044-1360 - Phone
- (785) 505-2886
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2410 | KS | Primary |
Addresses
Primary practice location
325 Maine St
Lawrence, KS 66044-1360
Mailing address
3114 W 19TH St
Lawrence, KS 66047-2200
Phone (785) 842-6972
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2410 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1710327630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 W 19TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472200",
"telephone_number": "785-842-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441360",
"telephone_number": "785-505-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "JEANETTE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.