Individual provider Active NPI

Donna Devries, SLP,CCC

  • Speech-Language Pathologist
  • Springfield, MO
National Provider Identifier
1154478659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0112 Issued in MO
Practice address
215 S Barnes Ave
Springfield, MO 65802-2204
Phone
(417) 864-3430
Fax
(417) 864-3449
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0112 MO Primary

Addresses

Primary practice location

215 S Barnes Ave
Springfield, MO 65802-2204

Mailing address

2702 S Williams Ave
Springfield, MO 65807-5578
Phone (417) 864-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0112MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Area Community Action Corporation PastSince Jun 15, 2025 Accepting new patients
Ozarks Area Community Action Corporation Head Start Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154478659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S WILLIAMS AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075578",
            "telephone_number": "417-864-3430",
            "fax_number": "417-864-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BARNES AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022204",
            "telephone_number": "417-864-3430",
            "fax_number": "417-864-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "DONNA",
        "credential": "SLP,CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "0112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.