Individual provider Active NPI

Danielle Ashley Baker, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1386078707
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15419 Issued in OR
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 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

IdentifierTypeStateIssuer
500687686MedicaidOR
15419OtherOROREGON STATE BOARD OF LICENSURE FOR SPEECH PATHOLOGY AND AUDIOLOGY

Other names 1

  • Mrs. Danielle Ashley Owen Former name

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

LicenseStateTypeSpecialty
109321TXMDClinical Social Worker
15419ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Baker Speech-Language Pathologist CurrentSince Mar 13, 2022 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.

Verify at the official NPI Registry.