Individual provider Active NPI

Heather Olinda Stroder, MS SLP

  • Speech-Language Pathologist
  • Overland Park, KS
National Provider Identifier
1861556532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP2426 Issued in KS
Practice address
7620 Metcalf Avenue
Suite M
Overland Park, KS 66204-2996
Phone
(913) 383-9014
Fax
(913) 383-9015
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP2426 KS Primary
Speech-Language Pathologist 235Z00000X 2006032148 MO

Addresses

Primary practice location

7620 Metcalf Avenue
Suite M
Overland Park, KS 66204-2996

Mailing address

7620 Metcalf Avenue
Suite M
Overland Park, KS 66204-2996
Phone (913) 383-9014

Other names 1

  • Ms. Heather Olinda Kelly Other 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 Science

State licenses

LicenseStateTypeSpecialty
TSLP2426KSMDSpeech-Language Pathologist
2006032148MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Therapy Group Inc Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861556532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 METCALF AVENUE",
            "address_2": "SUITE M",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042996",
            "telephone_number": "913-383-9014",
            "fax_number": "913-383-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 METCALF AVENUE",
            "address_2": "SUITE M",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042996",
            "telephone_number": "913-383-9014",
            "fax_number": "913-383-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRODER",
        "first_name": "HEATHER",
        "middle_name": "OLINDA",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "TSLP2426",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006032148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KELLY",
            "middle_name": "OLINDA",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.