Active NPI
Yvonne G Bauder, M.S., CCC-SLP
- Speech-Language Pathologist
- Centerview, MO
National Provider Identifier
1790993285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 92 NW State Route 58
Centerview, MO 64019-9235 - Phone
- (660) 656-3897
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
92 NW State Route 58
Centerview, MO 64019-9235
Mailing address
963 Walnut Shade
Crane, MO 65633
Phone (417) 369-0080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12026282 | Other | ASHA ACCOUNT NUMBER |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson County R-7 School District | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Centerview, MO
- NPI 1891913588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790993285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 WALNUT SHADE",
"city": "CRANE",
"state": "MO",
"postal_code": "65633",
"telephone_number": "417-369-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 NW STATE ROUTE 58",
"city": "CENTERVIEW",
"state": "MO",
"postal_code": "640199235",
"telephone_number": "660-656-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDER",
"first_name": "YVONNE",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA ACCOUNT NUMBER",
"identifier": "12026282",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerview, 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.