Diana Linn Platt, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bern, KS
NPI 1013193689 · NPPES record last updated Jan 14, 2008
Key facts
- NPI
- 1013193689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 923 (NE)
- Practice address
- 1937 216TH Rd
Bern, KS 66408-8055 - Phone
- (785) 799-5145
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Broad River Rehabilitation
Practice addresses (Care Compare)
6302 SW Lee Blvd
Lawton, OK 73505-9100
Phone (580) 536-6800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722003867 | OK | Practitioner - Qualified Speech Language Pathologist | 2668762246 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 923 | NE | MD | Psychologist |
| 6255 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Speech-Language Pathologist | Current |
Accepting new patients |
| Healthpro Heritage at Home LLC | Past | Accepting new patients |
Locations
1 Pond St
Arden, NC 28704
Phone 82877452220027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 923 | NE | Yes |
Addresses
Primary practice location
1937 216TH Rd
Bern, KS 66408-8055
Mailing address
1937 216TH Rd
Bern, KS 66408-8055
Phone (785) 799-5145
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.