=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437074788
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELVIA LOPEZ-MORALES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2026
-----------------------------------------------------
Last Update Date | 08/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6701 W 64TH ST STE 125
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66202-4007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-789-9900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5026 LOCUST AVE
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66106-3451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-789-9900
-----------------------------------------------------
Fax | 913-789-9900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 4280
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------