Individual provider Active NPI

Erinn Komp

  • Speech-Language Pathologist
  • Lee's Summit, MO
National Provider Identifier
1972831121
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2009014061 Issued in MO
Practice address
129 NE Parks View CT
Lees Summit, MO 64064-2353
Phone
(816) 478-9996
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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 2009014061 MO Primary

Addresses

Primary practice location

129 NE Parks View CT
Lees Summit, MO 64064-2353

Mailing address

14321 W 116TH Ter
Apt 1911
Olathe, KS 66062-3685
Phone (785) 493-1817

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
2009014061MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Therapies & Consulting, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1972831121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 W 116TH TER",
            "address_2": "APT 1911",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623685",
            "telephone_number": "785-493-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NE PARKS VIEW CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642353",
            "telephone_number": "816-478-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMP",
        "first_name": "ERINN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2009014061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.