Elizabeth Diane Barkley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2016022705 Issued in MO

Practice address

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512

Phone

(516) 265-1170

NPI assigned

Oct 3, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1912417080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JUNIPER ST",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW EAGLES PKWY",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298512",
            "telephone_number": "516-265-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 W Line St",
            "address_purpose": "LOCATION",
            "city": "Excelsior Springs",
            "state": "MO",
            "postal_code": "640242500",
            "country_code": "US",
            "telephone_number": "816-630-9297 x8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016022705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Grain Valley, MO
• Providers in Grain Valley, 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 Apr 21, 2022; 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.