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Diane Gardner

Speech-Language Pathologist β€’ Liberty, MO

Active NPI 1699895219 Individual Practitioner Female Practitioner
Practice location in NPPES

398 Blue Jay Dr
Liberty, MO 640681977

Call 8164072315 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

398 Blue Jay Dr

Liberty, MO 640681977

Telephone 8164072315
Fax 8164071555
Organization at the Same NPPES Address or Phone
New Liberty Hospital Corporation Facility NPI 1023360690

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Liberty and Missouri

35 active clinicians are listed under Speech-Language Pathologist with a practice address in Liberty, MO (5,056 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Liberty

0% of these 35 clinicians have the CMS telehealth indicator.

8.6% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MO 01461

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
466887825 (MO)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Amy Fulte

Physical Therapist

NPI 1790208932
Cherie Keogh-Dodge , MA, OTR, L

Occupational Therapist

NPI 1730346610

Master of Arts, Occupational Therapist Registered, L

Jennifer Mackie

Physical Therapist

NPI 1700307584
Suzanne Mccoy

Physical Therapist

NPI 1386165074
Susan Town

Physical Therapist

NPI 1568983351

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 30, 2017

Registered at 398 BLUE JAY DR, LIBERTY, MO 640681977 (Tel: 8164072315)

πŸ“
Updated Business Mailing Address June 30, 2017

Registered at 2609 GLENN HENDREN DR, LIBERTY, MO 640681738 (Tel: 8164074555)

πŸ‘€
Provider Name / Credentials Updated June 30, 2017

Recorded as DIANE GARDNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Speech-Language Pathologist (license number reported to NPPES: MO 01461)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 423 N CHESTNUT ST, CAMERON, MO 644291738 (Tel: 8166322213)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 423 N CHESTNUT ST, CAMERON, MO 644291738 (Tel: 8166322213)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DIANE GARDNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (license number reported to NPPES: MO 01461)

🟒
Initial NPI Registration & Enumeration March 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699895219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: February 27, 2018
Sole Proprietor: Yes

Other Speech-Language Pathologists in Liberty

Healthcare providers in Liberty

Mailing Address

2609 Glenn Hendren Dr

Liberty, MO 640681738

Phone: 8164074555

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.