Individual provider Active NPI

Dawn Marie Flannagan, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1013153337
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012083 Issued in NY
Practice address
135 Thornycroft Ave
Staten Island, NY 10312-6228
Phone
(718) 605-4664
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 012083 NY Primary

Addresses

Primary practice location

135 Thornycroft Ave
Staten Island, NY 10312-6228

Mailing address

135 Thornycroft Ave
Staten Island, NY 10312-6228
Phone (718) 605-4664

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1013153337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126228",
            "telephone_number": "718-605-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126228",
            "telephone_number": "718-605-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNAGAN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.