Individual provider Active NPI

Darya Deker

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1346974029
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
78553-SP-SL Issued in MA
Practice address
100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136
Phone
(978) 712-0003
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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 78553-SP-SL MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136

Mailing address

34 Russell Rd
Somerville, MA 02144-1514
Phone (818) 205-8842

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

State licenses

LicenseStateTypeSpecialty
78553-SP-SLMAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peer Projects, LLC Speech-Language Pathologist PastSince Jul 17, 2022 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1346974029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 RUSSELL RD",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441514",
            "telephone_number": "818-205-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 350G",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156136",
            "telephone_number": "978-712-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKER",
        "first_name": "DARYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78553-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.