Active NPI
Kelly Marie Simonett, SLP
- Speech-Language Pathologist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2971
- Practice address
- 5211 W 103Rd St
Overland Park, KS 66207-3154 - Phone
- (913) 383-2569
- Fax
- (913) 383-2611
- NPI assigned
- Apr 9, 2011
- 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 | 2971 | KS | Primary |
Addresses
Primary practice location
5211 W 103Rd St
Overland Park, KS 66207-3154
Mailing address
6143 W 120TH St
Apt 91
Overland Park, KS 66209-3726
Phone (316) 640-2406
Other names 1
- Kelly Marie Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 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
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 4
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
- Prairie Village, KS
- NPI 1124619697
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Prairie Village, KS
- NPI 1205334521
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1982994174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6143 W 120TH ST",
"address_2": "APT 91",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093726",
"telephone_number": "316-640-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 W 103RD ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662073154",
"telephone_number": "913-383-2569",
"fax_number": "913-383-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONETT",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-09",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "COOK",
"middle_name": "MARIE",
"code": "1",
"type": "Former 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 Oct 25, 2024; 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.