Active NPI
Stephanie Jill Altic, M.A. CCC-SLP
- Speech-Language Pathologist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002423
- Practice address
- 2100 NW Barry Rd
Kansas City, MO 64154-1000 - Phone
- (816) 521-6610
- NPI assigned
- Oct 1, 2015
- 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 | 002423 | IA | Primary |
Addresses
Primary practice location
2100 NW Barry Rd
Kansas City, MO 64154-1000
Mailing address
2100 NW Barry Rd
Kansas City, MO 64154-1000
Phone (816) 521-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200713003537 | MO | Practitioner - Qualified Speech Language Pathologist | 2264855980 | Reassigns benefits to 2 organizations |
| I20251031003047 | KS | Practitioner - Qualified Speech Language Pathologist | 2264855980 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002423 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901
16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
MO, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
MO, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Prairie Village, KS
- NPI 1205334521
KS, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Prairie Village, KS
- NPI 1124619697
KS, Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Sedalia, MO
- NPI 1366013476
-
- Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1770206807
-
- Rehabilitation Clinic/Center
- Prairie Village, KS
- NPI 1972276582
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1366024077
-
- Rehabilitation Clinic/Center
- Prairie Village, KS
- NPI 1811661408
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Missouri LLCEmpowerme Wellness Kansas City, LLC
Practice addresses (Care Compare)
1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764
2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220
4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745
9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1831569995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541000",
"telephone_number": "816-521-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641541000",
"telephone_number": "816-521-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTIC",
"first_name": "STEPHANIE",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "002423",
"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 Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.