Active NPI
Diana Vonhallett, CCC SLP SPEECH PATHO
- Speech-Language Pathologist
- Lewiston, ME
National Provider Identifier
1093979478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP861
- Practice address
- 618 Main Street
Lewiston, ME 04240 - Phone
- (207) 795-6110
- Fax
- (207) 795-6189
- NPI assigned
- Jul 15, 2008
- 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 | SP861 | ME | Primary |
Addresses
Primary practice location
618 Main Street
Lewiston, ME 04240
Mailing address
PO Box 8600
Portland, ME 04104
Phone (207) 774-6323
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwill Industries of Northern New England | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Portland, ME
- NPI 1588785463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1093979478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8600",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04104",
"telephone_number": "207-774-6323",
"fax_number": "207-761-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 MAIN STREET",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-795-6110",
"fax_number": "207-795-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHALLETT",
"first_name": "DIANA",
"credential": "CCC SLP SPEECH PATHO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.