Healthcare Provider Details

I. General information

NPI: 1003123332
Provider Name (Legal Business Name): AMY SCHLEPER MS RDN LD CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 01/27/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15621 W 87TH ST # 284
LENEXA KS
66219-1435
US

IV. Provider business mailing address

15621 W 87TH ST # 284
LENEXA KS
66219-1435
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-5343
  • Fax: 913-689-2336
Mailing address:
  • Phone: 913-213-5343
  • Fax: 913-689-2336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2009031341
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1565
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: