Active NPI 1699895219 Individual Practitioner Female Practitioner

Diane Gardner

Speech-Language Pathologist • Liberty, MO

Professional Overview & Biography Verified Profile Summary

Diane Gardner is a registered healthcare professional specializing in Speech-Language Pathologist in Liberty, MO. Practice services are available at 398 BLUE JAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

398 Blue Jay Dr

Liberty, MO 640681977

Telephone 8164072315

Fax 8164071555

Associated Practice Facility / Clinic

🏢 New Liberty Hospital Corporation Facility NPI 1023360690

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Liberty, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.3 Yrs

State Avg: 13.4 Yrs

Regional Practice Density

35 Specialists

Practicing in Liberty, MO (5112 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

466887825 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Jayme Earle , LAT, ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1093456139

Licensed Athletic Trainer, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Debra Hohn , PT

Physical Therapist

NPI 1174963011

Physical Therapist

Brian Maloney

Physical Therapist

NPI 1376064618

Suzanne Mccoy

Physical Therapist

NPI 1386165074

Jordan Vanness , ATC

Specialist/Technologist - Athletic Trainer

NPI 1386259117

Certified Athletic Trainer

Matthew St John

Physical Therapist

NPI 1417478298

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2017

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

📍

Updated Business Mailing Address June 30, 2017

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

👤

Provider Name / Credentials Updated June 30, 2017

Recorded as DIANE GARDNER

🎓

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

Speech-Language Pathologist (License #01461 in MO)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

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

📍

Updated Business Mailing Address July 08, 2007

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

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DIANE GARDNER

🎓

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

Speech-Language Pathologist (License #01461 in MO)

🟢

Initial NPI Registration & Enumeration March 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

2609 Glenn Hendren Dr

Liberty, MO 640681738

Phone: 8164074555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.