Individual provider Active NPI

Danielle Jarjura, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Wolcott, CT
National Provider Identifier
1003961376
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5943 Issued in MA
Practice address
39 Cassandra Dr
Wolcott, CT 06716-1701
Phone
(203) 558-1303
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5943 MA Primary

Addresses

Primary practice location

39 Cassandra Dr
Wolcott, CT 06716-1701

Mailing address

39 Cassandra Dr
Wolcott, CT 06716-1701
Phone (203) 558-1303

Other practice location 1

24 Preston Rd
Apt. 2
Somerville, MA 02143-2715
Phone (617) 666-9839

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

LicenseStateTypeSpecialty
5943MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Speech and Hearing Specialists, LLC Speech-Language Pathologist Current Accepting new patients
Children'S Speech and Hearing Specialists Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1003961376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CASSANDRA DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161701",
            "telephone_number": "203-558-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CASSANDRA DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161701",
            "telephone_number": "203-558-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Preston Rd",
            "address_2": "Apt. 2",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021432715",
            "country_code": "US",
            "telephone_number": "617-666-9839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARJURA",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.