MRS. DIANE GARDNER (NPI# 1699895219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699895219 |
| Entity Type | Individual |
| Full Name | MRS. DIANE GARDNER |
| Practice Address |
398 Blue Jay Dr Liberty MO 64068-1977 |
| Mailing Address |
2609 Glenn Hendren Dr Liberty MO 64068-1738 |
| Practice Telephone | 8164072315 |
| Practice Fax Number | 8164071555 |
| Mailing Telephone | 8164074555 |
| Mailing Fax Number | 8167816973 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 01461 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 466887825 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255024 | Diane Gardner | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-11-29 |
| 1205317823 | Diane Gardner | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-22 |
| 1457555096 | Diane Gandy Gardner | Audiologist | 7440 N Shadeland Ave, Indianapolis, IN 46250-2029 | 2007-06-14 |
| 1285774521 | Diane Marie Gardner | Nurse Practitioner | 5115 Centre Ave, Second Floor, Pittsburgh, PA 15232-1301 | 2007-02-07 |
| Street Address |
398 BLUE JAY DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259117 | Jordan Rachelle Vanness | Specialist/Technologist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2020-09-09 |
| 1851913602 | Megan Parks | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2020-05-15 |
| 1558909416 | Orthopedic Surgeons, Inc. | Orthopaedic Surgery | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2019-12-11 |
| 1730666322 | Michelle Gummig | Speech-Language Pathologist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2018-07-26 |
| 1790208932 | Amy Fulte | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-07-19 |
| 1487176780 | Shelby O'dowd | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-07-10 |
| 1386165074 | Suzanne Mccoy | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-07-03 |
| 1780105569 | Connie Scassellati | Occupational Therapy Assistant | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-06-30 |
| 1700307584 | Jennifer Mackie | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-06-30 |
| 1417478298 | Matthew St John | Physical Therapist | 398 Blue Jay Dr, Liberty, MO 64068-1977 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914745 | Savannah Autem | Speech-Language Pathologist | 1908 Plumbers Way Ste 400, Liberty, MO 64068-7453 | 2019-10-22 |
| 1053977447 | Barbara Blakey | Speech-Language Pathologist | 28 Winslow Pl, Liberty, NY 12754-1537 | 2019-05-12 |
| 1740758713 | Mallory Garth | Speech-Language Pathologist | 1908 Plumbers Way, Liberty, MO 64068-7456 | 2018-11-08 |
| 1821573056 | Kori Mudge | Speech-Language Pathologist | 940 Chastain Rd, Liberty, SC 29657-9021 | 2018-10-03 |
| 1851815757 | Gelsomino and Davis Speech and Occupational Therapy | Speech-Language Pathologist | 6113 State Route 55, Liberty, NY 12754-7626 | 2017-08-01 |
| 1912384876 | Hand Speech Therapy | Speech-Language Pathologist | 564 Ridge Ave, Liberty, NC 27298-3604 | 2015-04-29 |
| 1548647563 | Emily Kaye Smith | Speech-Language Pathologist | 8 Victory Ln, Liberty, MO 64068-1920 | 2015-04-28 |
| 1003248071 | Joyce Chester | Speech-Language Pathologist | 1830 Surrey St, Liberty, MO 64068-2597 | 2013-08-01 |
| 1720330186 | Erica Rhonemus | Speech-Language Pathologist | 210 Willow Street, Liberty, IN 47353 | 2012-10-10 |
| 1891051595 | Karen Danielle Weiman | Speech-Language Pathologist | 1351 N 750th Ave, Liberty, IL 62347-4901 | 2012-04-06 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.