MRS. SUSAN LYNN KENNEDY M.S. CCC-SLP
NPI 1720205875
Speech-Language Pathologist in Wichita, KS

Q: What is Susan Kennedy's NPI number?

The NPI number for Susan Kennedy is 1720205875. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Susan Kennedy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kennedy was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2007Accepts Medicare Assignment

13213 W 21ST CT STE 104, WICHITA, KS 67235(316) 573-6802(316) 721-2291 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Sep 24, 2021, Feb 23, 2021 (3 updates tracked since 2021).

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About Mrs. Susan Lynn Kennedy M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN LYNN KENNEDY M.S. CCC-SLP (NPI 1720205875) is an individual speech-language pathologist provider in Wichita, Kansas, licensed in Kansas (2627) and active in the NPI registry since April 2007. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1720205875

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. SUSAN LYNN KENNEDYCredential: M.S. CCC-SLP

Location Address13213 W 21ST CT STE 104Wichita, KS 67235-9625

Mailing Address13213 W 21st Ct Ste 104Wichita, KS 67235-9625 · (316) 573-6802 · Fax (316) 721-2291

Phone(316) 573-6802

Fax(316) 721-2291

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 19, 2007

Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1720205875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in KS · 2627

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

13213 W 21ST CT STE 104, Wichita, KS 67235

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Other Identifiers 1

Medicaid30004309950001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Susan Lynn Kennedy M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517013360

PECOS Enrollment IDI20090918000372

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINA DOWLING MA CCC-CLP

Speech-Language Pathologist