Individual provider Active NPI

Rebecca Daniel

  • Speech-Language Pathologist
  • Dublin, GA
National Provider Identifier
1043909336
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006946 Issued in GA
Practice address
113 E Gaines St
Dublin, GA 31021-6157
Phone
(478) 595-0317
Fax
(888) 249-2172
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 SLP006946 GA Primary

Addresses

Primary practice location

113 E Gaines St
Dublin, GA 31021-6157

Mailing address

113 E Gaines St
Dublin, GA 31021-6157
Phone (478) 595-0317

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

State licenses

LicenseStateTypeSpecialty
SLP006946GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Speech Pathology Services, LLC Speech-Language Pathologist CurrentSince Jun 16, 2024 Accepting new patients

Locations

113 Gaines St
Dublin, GA 31021
Phone (478) 595-0031

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1043909336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E GAINES ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216157",
            "telephone_number": "478-595-0317",
            "fax_number": "888-249-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E GAINES ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216157",
            "telephone_number": "478-595-0317",
            "fax_number": "888-249-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.