Individual provider Active NPI

Deborah Diane Gering

  • Speech-Language Pathologist
  • Kirksville, MO
National Provider Identifier
1194124305
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2004023914 Issued in MO
Practice address
1901 E Hamilton St
Kirksville, MO 63501-3904
Phone
(660) 665-7774
Fax
(660) 665-3281
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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 2004023914 MO Primary

Addresses

Primary practice location

1901 E Hamilton St
Kirksville, MO 63501-3904

Mailing address

13838 Shadow Way
Greentop, MO 63546-2309
Phone (660) 349-6521

Other identifiers 1

IdentifierTypeStateIssuer
2013040773OtherMOSPEECH AND LANGUAGE PATHOLOGIST

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
2004023914MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirksville R-III Schools Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1194124305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 SHADOW WAY",
            "city": "GREENTOP",
            "state": "MO",
            "postal_code": "635462309",
            "telephone_number": "660-349-6521",
            "fax_number": "660-665-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E HAMILTON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013904",
            "telephone_number": "660-665-7774",
            "fax_number": "660-665-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERING",
        "first_name": "DEBORAH",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004023914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND LANGUAGE PATHOLOGIST",
            "identifier": "2013040773",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.