Active NPI
Dama Dawson-Fleck, MA CCC-SLP
- Speech-Language Pathologist
- Muncie, IN
National Provider Identifier
1225292675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22002847A
- Practice address
- 2204 W Pineview Dr
Muncie, IN 47303-9028 - Phone
- (765) 288-6677
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 22002847A | IN | Primary |
Addresses
Primary practice location
2204 W Pineview Dr
Muncie, IN 47303-9028
Mailing address
2204 W Pineview Dr
Muncie, IN 47303-9028
Phone (765) 288-6677
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22002847A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1225292675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 W PINEVIEW DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473039028",
"telephone_number": "765-288-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 W PINEVIEW DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473039028",
"telephone_number": "765-288-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON-FLECK",
"first_name": "DAMA",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22002847A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.