Active NPI
Danielle Nicole Shahan, CCC-SLP
- Speech-Language Pathologist
- Sausalito, CA
National Provider Identifier
1366742710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11937
- Practice address
- 7 Cloud View TRL
Sausalito, CA 94965-2061 - Phone
- (415) 332-6066
- NPI assigned
- Nov 1, 2010
- Last updated
- Nov 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11937 | CA | Primary |
Addresses
Primary practice location
7 Cloud View TRL
Sausalito, CA 94965-2061
Mailing address
PO Box 1711
Sausalito, CA 94966-1711
Phone (707) 469-7375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11937 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic 4 Kidz | Speech-Language Pathologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1366742710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1711",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949661711",
"telephone_number": "707-469-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CLOUD VIEW TRL",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949652061",
"telephone_number": "415-332-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHAN",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sausalito, CA
- Sausalito Consulting LLP (Comfort Incontinence Supplies (CIS))
- Sausalito Healing Arts
- Sausalito Marin City Schools
- Sausalito Optometry, Inc.
- Sea Change Psychotherapy Incorporated
- Naureen A. Shaikh, MD
- Dwight A Shaneyfelt, DC,CCN,DACBN
- Patricia Arciniegas Sheppard, D.C.
- Regina Shuflitowski, RN
- Ashley Ann Smith, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.