Patricia Self, PHD-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

861 Issued in KS

Practice address

5015 E 29TH St N
Entrance 'T'
Wichita, KS 67220-2110

Phone

(316) 978-3289

Fax

(316) 978-7264

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wichita State University

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1295821858
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720282981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600099",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E 29TH ST N",
            "address_2": "ENTRANCE 'T'",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202110",
            "telephone_number": "316-978-3289",
            "fax_number": "316-978-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "PATRICIA",
        "credential": "PHD-CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "115025",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "11397",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Seitz
• Patrick R Seitz, DO
• Karen Sekler, LSCSW
• Select Physical Therapy Holdings Inc
• Select Specialty Hospital - Wichita Inc
• Rachael L Self
• Jamie H Sellberg, PA
• Jodisia Sellers, LPN
• Krista Sellers, PTA
• Heather Renee' Sells, CNA, HHA,

• 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 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.