Deanna Rae McCloud, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2189 Issued in KS

Practice address

1405 Campus Creek Rd RM 139
Manhattan, KS 66506-7501

Phone

(785) 532-6879

Fax

(785) 532-6523

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deanna Rae Wassenberg Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kansas State University

  • Hearing and Speech Clinic/Center
  • Manhattan, KS
  • NPI 1790905446

  KS

  Medicare reassignment NPD
• Kansas State University

  • Hearing and Speech Clinic/Center
  • Manhattan, KS
  • NPI 1154541886
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1013687573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CAMPUS CREEK RD RM 139",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665067501",
            "telephone_number": "785-532-6879",
            "fax_number": "785-532-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CAMPUS CREEK RD RM 139",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665067501",
            "telephone_number": "785-532-6879",
            "fax_number": "785-532-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "DEANNA",
        "middle_name": "RAE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "WASSENBERG",
            "middle_name": "RAE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam McCaffrey, LSCSW, LMAC
• Kelli McCallum, P.T. ASSISTANT
• Sara McCarn, P.T. ASSISTANT
• Samantha McCarty, PA-C
• Martha Elizabeth McClellan, LPN
• Rachel McClurg, RDN,LD
• Constance McConnell
• Alyssa McCormack
• Mikki Lynn McCoy-Minocha, MD
• Shelia McCoy

• All providers in Manhattan, KS
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.