Active NPI
Danielle Rose Newberry, MSP CCC-SLP
- Speech-Language Pathologist
- Lexington, SC
National Provider Identifier
1194075457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5084
- Practice address
- 225 Vista Springs Cir
Lexington, SC 29072-8119 - Phone
- (803) 359-3195
- Fax
- (803) 359-3195
- NPI assigned
- Sep 14, 2012
- 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 | 5084 | SC | Primary |
Addresses
Primary practice location
225 Vista Springs Cir
Lexington, SC 29072-8119
Mailing address
3185 John Bartram PL
Mount Pleasant, SC 29466-7025
Phone (937) 654-9500
Other names 1
- Danielle Phillips
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 |
|---|---|---|---|
| 5084 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Therapy Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Midlands Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Lexington, SC
- NPI 1598117608
-
- Pediatric Occupational Therapist
- Lexington, SC
- NPI 1053468090
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1194075457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3185 JOHN BARTRAM PL",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667025",
"telephone_number": "937-654-9500",
"fax_number": "803-359-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 VISTA SPRINGS CIR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290728119",
"telephone_number": "803-359-3195",
"fax_number": "803-359-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "DANIELLE",
"middle_name": "ROSE",
"credential": "MSP CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "PHILLIPS",
"credential": "MSP CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.