Susan Lynn Kennedy, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2627 Issued in KS

Practice address

13213 W 21St CT Ste 104
Wichita, KS 67235-9625

Phone

(316) 573-6802

Fax

(316) 721-2291

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speech Swallowing and Voice Center PAGroup PAC ID 7719033562, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech Swallowing and Voice Center PA

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1255571964
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1720205875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13213 W 21ST CT STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359625",
            "telephone_number": "316-573-6802",
            "fax_number": "316-721-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13213 W 21ST CT STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359625",
            "telephone_number": "316-573-6802",
            "fax_number": "316-721-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004309950001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Lyn Kennedy, LSCSW
• Kayla Deann Kennedy, DPT
• Kelli Dawn Kennedy, LSCSW
• Marcia Kennedy, LCP, LSCSW
• Mark Kennedy, ATC
• Joshua Michael Kennell
• Kenneth W. Nelson, DDS, PA
• Janet C Kenny, SLP
• Aaron David Kent, RN
• Aggrey K Keny, MD

• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.