Active NPI
Ida Jane Davis, SLP
- Speech-Language Pathologist
- Overland Park, KS
National Provider Identifier
1790038867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2697
- Practice address
- 8826 Santa Fe Dr
Suite #303
Overland Park, KS 66212-3655 - Phone
- (913) 631-9471
- NPI assigned
- Oct 26, 2012
- 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 | 2697 | KS | Primary |
Addresses
Primary practice location
8826 Santa Fe Dr
Suite #303
Overland Park, KS 66212-3655
Mailing address
8826 Santa Fe Dr
Suite #303
Overland Park, KS 66212-3655
Phone (913) 631-9471
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1790038867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8826 SANTA FE DR",
"address_2": "SUITE #303",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123655",
"telephone_number": "913-631-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8826 SANTA FE DR",
"address_2": "SUITE #303",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123655",
"telephone_number": "913-631-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "IDA",
"middle_name": "JANE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2697",
"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 Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.