Gina Debarthe, SLP-CCC, PH.D

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2009001283 Issued in MO

Practice address

298 SW Blue Pkwy
Lee's Summit, MO 64063

Phone

(816) 607-5333

Fax

(816) 817-1174

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Fox Rehabilitation Services SLP Mo LLC

  dba Fox Rehabilitation

  • Speech-Language Pathologist
  • Saint Charles, MO
  • NPI 1639794613
  Medicare reassignment

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1528616059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 SW BLUE PARKWAY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-607-5333",
            "fax_number": "816-817-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SW BLUE PKWY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-607-5333",
            "fax_number": "816-817-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARTHE",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "SLP-CCC, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2009001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie De Jong, NP
• Kristian Ashtin De Nagel, MD
• Stephanie Lynn De Vere, MD
• Deaconess Long Term Care of Missouri, Inc. (White Ridge Health Center)
• Megan Elizabeth Deaver
• Marissa Decker, FNP
• Sarah E Dedrick, CPNP
• Aileen Deeter
• Michele Deeter
• Christopher Deffenbaugh, PHARMD

• Speech-Language Pathologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.