Healthcare Provider Details

I. General information

NPI: 1598353997
Provider Name (Legal Business Name): MENLEY NICHOLE HEMBREE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10275 S SHADOW RIDGE DR
OLATHE KS
66061-8473
US

IV. Provider business mailing address

10275 S SHADOW RIDGE DR
OLATHE KS
66061-8473
US

V. Phone/Fax

Practice location:
  • Phone: 913-608-7005
  • Fax: 866-308-0972
Mailing address:
  • Phone: 913-608-7005
  • Fax: 866-308-0972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2020043097
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5943
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: