Individual provider Active NPI

Danielle Brandis, M.S. CF-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1275003550
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01660L Issued in MD
Practice address
801 Argonne Dr
Baltimore, MD 21218-1943
Phone
(410) 889-5054
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 01660L MD Primary

Addresses

Primary practice location

801 Argonne Dr
Baltimore, MD 21218-1943

Mailing address

801 Argonne Dr
Baltimore, MD 21218-1943
Phone (410) 889-5054

Other identifiers 1

IdentifierTypeStateIssuer
01660LOtherMDMARYLAND BOARD OF SPEECH PATHOLOGY

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 Science

State licenses

LicenseStateTypeSpecialty
01660LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeth School 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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1275003550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ARGONNE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181943",
            "telephone_number": "410-889-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ARGONNE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181943",
            "telephone_number": "410-889-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDIS",
        "first_name": "DANIELLE",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01660L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF SPEECH PATHOLOGY",
            "identifier": "01660L",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.