Individual provider Active NPI

Jodanie Dalien

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1083133482
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI2376 Issued in FL
Practice address
6001 Vineland Rd Ste 109
Orlando, FL 32819-7829
Phone
(407) 205-7377
Fax
(407) 563-8458
NPI assigned
Sep 18, 2017
Last updated
Sep 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 SI2376 FL Primary

Addresses

Primary practice location

6001 Vineland Rd Ste 109
Orlando, FL 32819-7829

Mailing address

6001 Vineland Rd Ste 109
Orlando, FL 32819-7829
Phone (407) 205-7377

Other identifiers 1

IdentifierTypeStateIssuer
SI2376OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729002529 DC Practitioner - Qualified Speech Language Pathologist 5193119105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabcare Group East, LLCGroup PAC ID 0042128894, 39 clinicians

Practice addresses (Care Compare)

1330 Massachusetts Ave NW
Washington, DC 20005-4155
Phone (202) 626-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI2376FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstreet Speech Therapy Speech-Language Pathologist Current Accepting new patients
Rehabcare Group East, LLC CurrentSince Jun 3, 2024 Accepting new patients
Rehabcare Group East LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

1330 Massachusetts Ave NW
Washington, DC 20005
Phone (202) 223-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1083133482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-205-7377",
            "fax_number": "407-563-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-205-7377",
            "fax_number": "407-563-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIEN",
        "first_name": "JODANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI2376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SI2376",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.