Mary Stanley, M.A. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011003504 Issued in MO

Practice address

13418 Santa Fe Trail Dr
Lenexa, KS 66215-3655

Phone

(913) 689-8272

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1992163661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16685 S LIND RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627870",
            "telephone_number": "816-785-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13418 SANTA FE TRAIL DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153655",
            "telephone_number": "913-689-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "M.A. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011003504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Jullian Stallard Jr., MD
• Timothy C Stallard, PA
• Tatiana Staples
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• Starlight ABA KS LLC
• Stephen G. Schulte, D.D.S., P.a.
• Amanda Stevens

• Speech-Language Pathologist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.