Active NPI
Yana M Gassel, M.S., CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1396091633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9925
- Practice address
- 155 Baker House Trent Dr
Durham, NC 27710-0001 - Phone
- (919) 684-6271
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- 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 | 9925 | NC | Primary |
Addresses
Primary practice location
155 Baker House Trent Dr
Durham, NC 27710-0001
Mailing address
510 Canyon Lake Cir
Morrisville, NC 27560-7789
Phone (919) 247-9347
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14060886 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | |
| 9925 | Other | NC | NC BOARD OF EXAMINERS FOR AUDIOLOGY AND SPEECH PATHOLOGY |
Other names 1
- Yana M Dolgova
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9925 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1396091633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CANYON LAKE CIR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275607789",
"telephone_number": "919-247-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BAKER HOUSE TRENT DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-684-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASSEL",
"first_name": "YANA",
"middle_name": "M",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "14060886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF EXAMINERS FOR AUDIOLOGY AND SPEECH PATHOLOGY",
"identifier": "9925",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YANA",
"last_name": "DOLGOVA",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.