Active NPI
Jason Thomas Van Buren
- Speech-Language Assistant
- Kansas City, MO
National Provider Identifier
1770119059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2023035485
- Practice address
- 8805 Blue Ridge Blvd
Kansas City, MO 64138-4002 - Phone
- (346) 431-3454
- NPI assigned
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 41452 | TX | |
| Speech-Language Assistant | 2355S0801X | 2023035485 | MO | Primary |
Addresses
Primary practice location
8805 Blue Ridge Blvd
Kansas City, MO 64138-4002
Mailing address
8805 Blue Ridge Blvd
Kansas City, MO 64138-4002
Phone (346) 431-3454
Other practice location 1
1606 Norwood St
Deer Park, TX 77536-3718
Phone (281) 670-4333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023035485 | MO | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1770119059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 BLUE RIDGE BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641384002",
"telephone_number": "346-431-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 BLUE RIDGE BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641384002",
"telephone_number": "346-431-3454"
}
],
"practiceLocations": [
{
"address_1": "1606 Norwood St",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "TX",
"postal_code": "775363718",
"country_code": "US",
"telephone_number": "281-670-4333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN BUREN",
"first_name": "JASON",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-18",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "TX",
"license": "41452",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MO",
"license": "2023035485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.