Active NPI
Donnielle Dawson Gallman, MA, CCC-SLP
- Speech-Language Pathologist
- Prairieville, LA
National Provider Identifier
1033443155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4767
- Practice address
- 18219 Autumn Run Dr
Prairieville, LA 70769-5215 - Phone
- (225) 223-7812
- Fax
- (225) 313-3606
- NPI assigned
- Sep 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4767 | LA | Primary |
Addresses
Primary practice location
18219 Autumn Run Dr
Prairieville, LA 70769-5215
Mailing address
18219 Autumn Run Dr
Prairieville, LA 70769-5215
Phone (225) 223-7812
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4767 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1033443155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18219 AUTUMN RUN DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695215",
"telephone_number": "225-223-7812",
"fax_number": "225-313-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18219 AUTUMN RUN DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695215",
"telephone_number": "225-223-7812",
"fax_number": "225-313-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLMAN",
"first_name": "DONNIELLE",
"middle_name": "DAWSON",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.