Active NPI
Patricia Jordan Dinunno, M.A.CCC-SLP
- Speech-Language Pathologist
- Melbourne, FL
National Provider Identifier
1053540997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA5402
- Practice address
- 2125 W New Haven Ave
Melbourne, FL 32904-3803 - Phone
- (321) 725-7360
- Fax
- (321) 729-4333
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- No
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 | SA5402 | FL | Primary |
Addresses
Primary practice location
2125 W New Haven Ave
Melbourne, FL 32904-3803
Mailing address
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (205) 942-6820
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA5402 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1053540997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "205-942-6820",
"fax_number": "205-942-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 W NEW HAVEN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329043803",
"telephone_number": "321-725-7360",
"fax_number": "321-729-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINUNNO",
"first_name": "PATRICIA",
"middle_name": "JORDAN",
"name_prefix": "Ms.",
"credential": "M.A.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA5402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.