Individual provider Active NPI

Mariam Khoury, MS, CCC-SLP

  • Speech-Language Pathologist
  • Leawood, KS
National Provider Identifier
1831886266
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5147 Issued in KS
Practice address
3715 W 133Rd St
Leawood, KS 66209-3347
Phone
(913) 213-3531
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 5147 KS Primary

Addresses

Primary practice location

3715 W 133Rd St
Leawood, KS 66209-3347

Mailing address

3715 W 133Rd St
Leawood, KS 66209-3347
Phone (913) 213-3531

Other practice location 1

8340 Mission Rd
Prairie Village, KS 66206-1355
Phone (913) 213-3531

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 Science

State licenses

LicenseStateTypeSpecialty
5147KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Playabilities CurrentSince Apr 23, 2023 Accepting new patients
Playabilities for Sensational Kids, LLC Speech-Language Pathologist Past Accepting new patients

Locations

3715 W 133rd St
Leawood, KS 66209
Phone (913) 213-3531

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1831886266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093347",
            "telephone_number": "913-213-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093347",
            "telephone_number": "913-213-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Mission Rd",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662061355",
            "country_code": "US",
            "telephone_number": "913-213-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "MARIAM",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.