Active NPI
Denise Irene Alford, M.S., CCC-SLP
- Speech-Language Pathologist
- Lebanon, MO
National Provider Identifier
1982755740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 101665
- Practice address
- 224 W Commercial St
Lebanon, MO 65536-3146 - Phone
- (417) 657-6001
- Fax
- (417) 532-9492
- NPI assigned
- Jan 16, 2007
- Last updated
- May 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 101665 | MO | Primary |
Addresses
Primary practice location
224 W Commercial St
Lebanon, MO 65536-3146
Mailing address
181 Joy Cir
Camdenton, MO 65020-3813
Phone (573) 434-6269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750449823 | Medicaid | MO | |
| 463354118 | Medicaid | MO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101665 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Learning Center of Camden County, Inc. | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Camdenton, MO
- NPI 1801016118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1982755740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 JOY CIR",
"city": "CAMDENTON",
"state": "MO",
"postal_code": "650203813",
"telephone_number": "573-434-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W COMMERCIAL ST",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363146",
"telephone_number": "417-657-6001",
"fax_number": "417-532-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFORD",
"first_name": "DENISE",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "101665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750449823",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "463354118",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
- Advocates for a Healthy Community, Inc.
- Aerocare Home Medical Equipment, Inc. (AeroCare Home Medical Equipment)
- Agape Junction Counseling Services
- Ossama Al-Assafeen, MD
- Kelly Alexander, P.T.
- Sherrita M Allen
- American Oncology Partners, P.a. (Oncology Hematology Associates of Missouri)
- American Oncology Partners, P.a. (Oncology Hematology Associates of Missouri)
- Applewood Group Home
- Applewood Lane Corporation (Applewood Group Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.