Active NPI
Danielle Marie Prol, M.S.
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1326386285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5094
- Practice address
- 101 Brightwater Dr
Myrtle Beach, SC 29579-8275 - Phone
- (845) 902-0774
- NPI assigned
- Jan 27, 2013
- 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 | 5094 | SC | Primary |
Addresses
Primary practice location
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Mailing address
200 N Shore Dr
Apt 704
Myrtle Beach, SC 29579-4409
Phone (845) 902-0774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5094 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359244800000",
"number": "1326386285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N SHORE DR",
"address_2": "APT 704",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794409",
"telephone_number": "845-902-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRIGHTWATER DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798275",
"telephone_number": "845-902-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROL",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-27",
"last_updated": "2013-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
- Kel Z Gaskin Prock, MSR, OTR L
- Edward L Proctor Jr., MD
- Professional Counseling Associates, Inc.
- Monika C Profige
- Progressive Physical Therapy, PA (Progressive Physical Therapy Strand)
- PRS 10, LLC (Professional Rehabilitation Services)
- PRS 3, LLC (Professional Rehabilitation Services)
- PRS 7, LLC (Professional Rehabiliation Services)
- PRS 8, LLC (Professional Rehabilitation Services)
- PRS II, LLC (Professional Rehabilitation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.