Active NPI
Danielle Alyson Shreve
- Speech-Language Pathologist
- Galion, OH
National Provider Identifier
1407372998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.13190
- Practice address
- 7819 State Route 19
Galion, OH 44833 - Phone
- (419) 947-1900
- NPI assigned
- Aug 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.13190 | OH | Primary |
Addresses
Primary practice location
7819 State Route 19
Galion, OH 44833
Mailing address
890 W 4TH St
Ontario, OH 44906-2565
Phone (419) 947-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14147790 | Other | AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.13190 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632009600000",
"number": "1407372998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062565",
"telephone_number": "419-947-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 STATE ROUTE 19",
"city": "GALION",
"state": "OH",
"postal_code": "44833",
"telephone_number": "419-947-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREVE",
"first_name": "DANIELLE",
"middle_name": "ALYSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2021-09-19",
"certification_date": "2021-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.13190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION CERTIFICATION",
"identifier": "14147790",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.