Active NPI
Danielle Shay Jambor, CCC-SLP
- Speech-Language Pathologist
- Fort Wayne, IN
National Provider Identifier
1215612767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46004274A
- Practice address
- 4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1943 - Phone
- (260) 338-1241
- NPI assigned
- Jun 21, 2023
- Last updated
- Oct 21, 2026
- 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 | 46004274A | IN | Primary |
Addresses
Primary practice location
4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1943
Mailing address
55970 Riverdale Dr
Elkhart, IN 46514-1152
Phone (574) 807-1393
Other practice location 1
303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Phone (502) 412-5847
Other names 1
- Danielle Shay Cooling
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 |
|---|---|---|---|
| 46004274A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibilities Northeast, LLC. | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Fort Wayne, IN
- NPI 1881734697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1215612767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55970 RIVERDALE DR",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141152",
"telephone_number": "574-807-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 HILLEGAS RD STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181943",
"telephone_number": "260-338-1241"
}
],
"practiceLocations": [
{
"address_1": "303 N Hurstbourne Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402225158",
"country_code": "US",
"telephone_number": "502-412-5847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMBOR",
"first_name": "DANIELLE",
"middle_name": "SHAY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46004274A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "COOLING",
"middle_name": "SHAY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.