Daniel Fogerty, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004493A Issued in IN

Practice address

725 N Bell Trace Cir
Bloomington, IN 47408-4408

Phone

(812) 323-2858

NPI assigned

Oct 16, 2008

Sex

Male

Sole proprietor

No

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1003068453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322923",
            "telephone_number": "317-573-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N BELL TRACE CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474084408",
            "telephone_number": "812-323-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGERTY",
        "first_name": "DANIEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004493A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Floyd, LCSW
• Ashton Flynn, RBT
• Jessica Lynnae Flynn
• Sean Flynn, MD
• Fogerty Music Therapy, LLC
• Jonnetta J Fogerty, MM, MT-BC
• Sheyla Fogle
• Fonthill Behavioral Health
• Foot Specialist LLC
• Mark Forbing, MS, LAT, ATC

• Speech-Language Pathologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.