Individual provider Active NPI

Donna C. Bartrug

  • Speech-Language Pathologist
  • Delmar, DE
National Provider Identifier
1114185741
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01-0000943 Issued in DE
Practice address
200 N 8TH St
Delmar, DE 19940-1374
Phone
(302) 846-9544
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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 01-0000943 DE Primary

Addresses

Primary practice location

200 N 8TH St
Delmar, DE 19940-1374

Mailing address

20346 Ennis Rd
Georgetown, DE 19947-4108
Phone (302) 856-1926

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
01-0000943DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware 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, 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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1114185741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20346 ENNIS RD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474108",
            "telephone_number": "302-856-1926",
            "fax_number": "302-856-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 8TH ST",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401374",
            "telephone_number": "302-846-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTRUG",
        "first_name": "DONNA",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0000943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.