Destini Dawson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22007641A Issued in IN

Practice address

5620 Sohl Ave
Hammond, IN 46320-2008

Phone

(219) 937-9085

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1215531272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 S BLACKSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197115",
            "telephone_number": "773-225-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 SOHL AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202008",
            "telephone_number": "219-937-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DESTINI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007641A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Davern, MSW
• Keona Chantel Davis
• Martha Davis, PHARMD
• Rose Davis, MA
• Shana Richelle Sarah Davis, C.D.
• F K Deal, RPH
• Kenneth Deangelis Jr.
• Carlos Adolfo Dejesus, DPT
• Dental Center of Hammond
• John A Desalvo, DO

• Speech-Language Pathologist in Hammond, IN
• Providers in Hammond, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.