Individual provider Active NPI

Patrice M Ferrell, CCC-SLP

  • Speech-Language Pathologist
  • Leavenworth, KS
National Provider Identifier
1821205899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1664 Issued in KS
Practice address
3400 S 4TH Trafficway
Suite C
Leavenworth, KS 66048-5012
Phone
(913) 651-1000
Fax
(913) 651-3030
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
1664KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Families, Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1664 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

3400 S 4TH Trafficway
Suite C
Leavenworth, KS 66048-5012

Mailing address

PO Box 188
Leavenworth, KS 66048-0188
Phone (913) 651-1000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
115721OtherKSBCBS OF KANSAS

Other names 1

NPPES NPI Registry
  • Patrice M Arnzen Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821205899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660480188",
            "telephone_number": "913-651-1000",
            "fax_number": "913-651-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S 4TH TRAFFICWAY",
            "address_2": "SUITE C",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485012",
            "telephone_number": "913-651-1000",
            "fax_number": "913-651-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "PATRICE",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "115721",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "ARNZEN",
            "middle_name": "M",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leavenworth, KS

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.