Individual provider Active NPI

Danielle Renee Tatara, CCC-SLP

  • Speech-Language Pathologist
  • Hollidaysburg, PA
National Provider Identifier
1104351832
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013424 Issued in PA
Practice address
916 Hickory St
Hollidaysburg, PA 16648-2248
Phone
(814) 696-4527
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 SL013424 PA Primary

Addresses

Primary practice location

916 Hickory St
Hollidaysburg, PA 16648-2248

Mailing address

659 Maryland Ave
Apt 2
Shadyside, PA 15232-1940
Phone (412) 627-1329

Other names 1

  • Danielle Renee Jones Former name

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
SL013424PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1104351832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 MARYLAND AVE",
            "address_2": "APT 2",
            "city": "SHADYSIDE",
            "state": "PA",
            "postal_code": "152321940",
            "telephone_number": "412-627-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HICKORY ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482248",
            "telephone_number": "814-696-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARA",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "JONES",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.