Active NPI
Jennifer Devault, SLP
- Speech-Language Pathologist
- Overland Park, KS
National Provider Identifier
1750706644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1179
- Practice address
- 7819 Conser Place
Overland Park, KS 66208 - Phone
- (913) 789-9900
- Fax
- (913) 789-9170
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1179 | KS | Primary |
Addresses
Primary practice location
7819 Conser Place
Overland Park, KS 66208
Mailing address
15521 S Apache Cir
Olathe, KS 66062-6303
Phone (913) 710-8414
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593302400000",
"number": "1750706644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15521 S APACHE CIR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660626303",
"telephone_number": "913-710-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 CONSER PLACE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-789-9900",
"fax_number": "913-789-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVAULT",
"first_name": "JENNIFER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2020-06-28",
"certification_date": "2020-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.