Active NPI
Danielle Ashley Baker, M.A., CCC-SLP
- Speech-Language Pathologist
- Portland, OR
National Provider Identifier
1386078707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15419
- Practice address
- 1717 SE 43Rd Ave
Portland, OR 97215-3115 - Phone
- (503) 568-1781
- Fax
- (503) 710-9534
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109321 | TX | |
| Speech-Language Pathologist | 235Z00000X | 15419 | OR | Primary |
Addresses
Primary practice location
1717 SE 43Rd Ave
Portland, OR 97215-3115
Mailing address
1717 SE 43Rd Ave
Portland, OR 97215-3115
Phone (503) 568-1781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500687686 | Medicaid | OR | |
| 15419 | Other | OR | OREGON STATE BOARD OF LICENSURE FOR SPEECH PATHOLOGY AND AUDIOLOGY |
Other names 1
- Mrs. Danielle Ashley Owen
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109321 | TX | MD | Clinical Social Worker |
| 15419 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle Baker | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6516 NE Siskiyou St
Portland, OR 97213
Phone (503) 266-1030
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": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1386078707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SE 43RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153115",
"telephone_number": "503-568-1781",
"fax_number": "503-710-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SE 43RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153115",
"telephone_number": "503-568-1781",
"fax_number": "503-710-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DANIELLE",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109321",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "15419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500687686",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF LICENSURE FOR SPEECH PATHOLOGY AND AUDIOLOGY",
"identifier": "15419",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "OWEN",
"middle_name": "ASHLEY",
"prefix": "MRS.",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.