Individual provider Active NPI

Danielle Elizabeth Shirkey, MS CCC SLP

  • Speech-Language Pathologist
  • Watertown, NY
National Provider Identifier
1306143961
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58020757 Issued in NY
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

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160418000636 NY Practitioner - Qualified Speech Language Pathologist 2163720657 Reassigns benefits to 1 organization

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
Nysarc Inc. Onondaga County ChapterGroup PAC ID 9537252184, 19 clinicians

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

LicenseStateTypeSpecialty
020757NYMDOccupational Therapist
58020757NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. Onondaga County Chapter CurrentSince Apr 1, 2016 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.

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.

Verify at the official NPI Registry.