Active NPI
Danielle Elizabeth Shirkey, MS CCC SLP
- Speech-Language Pathologist
- Watertown, NY
National Provider Identifier
1306143961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58020757
- Practice address
- 420 Gaffney Dr
Watertown, NY 13601 - Phone
- (315) 836-1283
- NPI assigned
- Feb 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 020757 | NY | |
| Speech-Language Pathologist | 235Z00000X | 58020757 | NY | Primary |
Addresses
Primary practice location
420 Gaffney Dr
Watertown, NY 13601
Mailing address
420 Gaffney Dr.
Watertown, NY 13601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Gaffney Dr
Watertown, NY 13601-1823
Phone (315) 789-2730
600 S Wilbur Ave
Syracuse, NY 13204-2730
Phone (315) 476-7441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020757 | NY | MD | Occupational Therapist |
| 58020757 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. Onondaga County Chapter | Current | Accepting new patients |
Locations
600 S Wilbur Ave
Syracuse, NY 13204
Phone (315) 476-7441
420 Gaffney Dr
Watertown, NY 13601
Phone (315) 788-2730
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1306143961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 GAFFNEY DR.",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 GAFFNEY DR",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-836-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRKEY",
"first_name": "DANIELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020757",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58020757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.