Danielle Justine Smith, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114769 Issued in TX

Practice address

2425 E Main St
League City, TX 77573-2743

Phone

(281) 284-0000

NPI assigned

Jun 4, 2022

Last updated

Jun 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Clear Creek Independent School District

  • Local Education Agency (LEA)
  • League City, TX
  • NPI 1962603555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1396484515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 EAST MAIN STREET",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-284-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732743",
            "telephone_number": "281-284-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "middle_name": "JUSTINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith03@ccisd.net",
            "affiliation": "Y",
            "endpointDescription": "School Email",
            "affiliationName": "Clear Creek ISD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2425 E Main St",
            "city": "League City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775732743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sleep Well Southeast Texas LLC
• SMGS PC (Bay Colony EyeCare)
• Smith Psychological Services, PLLC
• Aspen Smith
• Brent Warren Smith, LP, PHD
• Heath Michael Smith, D.D.S.
• Ingrid Euphemia Smith, MS,CCC-SLP
• Jamie Sue Smith, LCDC
• Latanya Denise Smith, APRN, FNP-C
• Mikel Smith

• Speech-Language Pathologist in League City, TX
• Providers in League City, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.