Individual provider Active NPI

Shellee Cates Brouhard, M.A. C.C.C. SLP

  • Speech-Language Pathologist
  • Lees Summit, MO
National Provider Identifier
1801003280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
HE01279 Issued in MO
Practice address
4078 SW Camelot Dr
Lees Summit, MO 64082-4741
Phone
(816) 537-8118
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X HE01279 MO Primary

Addresses

Primary practice location

4078 SW Camelot Dr
Lees Summit, MO 64082-4741

Mailing address

4078 SW Camelot Dr
Lees Summit, MO 64082-4741
Phone (816) 537-8118

Other names 1

  • Shellee Cates Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
HE01279MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801003280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4078 SW CAMELOT DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824741",
            "telephone_number": "816-537-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4078 SW CAMELOT DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824741",
            "telephone_number": "816-537-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUHARD",
        "first_name": "SHELLEE",
        "middle_name": "CATES",
        "credential": "M.A. C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "HE01279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEE",
            "last_name": "CATES",
            "credential": "M.A. C.C.C. SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • 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.