Marsha Lee Dedrick, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01420 Issued in MO

Practice address

2101 N Twyman Rd
Fort Osage R-I School District
Independence, MO 64058-3200

Phone

(816) 650-7371

Fax

(816) 650-7355

NPI assigned

Mar 12, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fort Osage R-1 School District

  • Local Education Agency (LEA)
  • Independence, MO
  • NPI 1093855843

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1801928221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N TWYMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640583200",
            "telephone_number": "816-650-7371",
            "fax_number": "816-650-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N TWYMAN RD",
            "address_2": "FORT OSAGE R-I SCHOOL DISTRICT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640583200",
            "telephone_number": "816-650-7371",
            "fax_number": "816-650-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDRICK",
        "first_name": "MARSHA",
        "middle_name": "LEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466727427",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya E Minkevich De Visser, RPH
• Amber Dealy, PLPC
• Kenneth Martin Deblock, LPC
• Whitney Decker, APRN
• Dedicated Missouri Holding, LLC
• Douglas O Dehning, MD
• Shannon Leigh Deitch, OD
• John M Delamarie, LCSW
• Edward Delaney, PT, ATC/L
• Roger Deloach

• Speech-Language Pathologist in Independence, MO
• Providers in Independence, 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 Feb 19, 2009; 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.