NPIMap

Individual provider Active NPI

Danielle Elizabeth Kreis, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wayne, PA
National Provider Identifier
1366813198
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012584 Issued in PA
Practice address
489 Devon Park Dr
Wayne, PA 19087
Phone
(484) 367-7131
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 2202008046 VA
Speech-Language Pathologist 235Z00000X SL012584 PA Primary

Addresses

Primary practice location

489 Devon Park Dr
Wayne, PA 19087

Mailing address

444 W Baltimore Ave Apt 415
Media, PA 19063-3853

Other practice location 1

7001 A Loisdale Road
Springfield, VA 22150
Phone (703) 971-0602

Other practice location 2

7570 Market Place Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

Other practice location 3

7570 Market Place Dr
Eden Prairie, MN 55344
Phone (952) 944-0240

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
SL012584PAMDSpeech-Language Pathologist
2202008046VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Childrens Center, LLC Speech-Language Pathologist Past Accepting new patients
Therapy for Me Inc Past Accepting new patients
Therapy for Me Speech-Language Pathologist Past Accepting new patients
Kidmunicate Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 4

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1366813198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W BALTIMORE AVE APT 415",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "484-367-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 A Loisdale Road",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "22150",
            "country_code": "US",
            "telephone_number": "703-971-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7570 Market Place Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "55344",
            "country_code": "US",
            "telephone_number": "952-944-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7570 Market Place Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "55344",
            "country_code": "US",
            "telephone_number": "952-944-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIS",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008046",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.