Individual provider Active NPI

Diane Mary Morehead, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1356693360
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02974 Issued in MD
Practice address
3120 Gracefield Rd
Silver Spring, MD 20904-5810
Phone
(301) 572-8372
Fax
(301) 572-8415
NPI assigned
Oct 15, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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 02974 MD Primary

Addresses

Primary practice location

3120 Gracefield Rd
Silver Spring, MD 20904-5810

Mailing address

3120 Gracefield Rd
Silver Spring, MD 20904-5810
Phone (301) 572-8372

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
02974MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1356693360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045810",
            "telephone_number": "301-572-8372",
            "fax_number": "301-572-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045810",
            "telephone_number": "301-572-8372",
            "fax_number": "301-572-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHEAD",
        "first_name": "DIANE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.