Active NPI
Dianne Damren-Marschall, SLP
- Speech-Language Pathologist
- Lewiston, ME
National Provider Identifier
1407944697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP556
- Practice address
- 5 Gendron Dr
Lewiston, ME 04240-1048 - Phone
- (207) 513-6352
- Fax
- (207) 795-4082
- NPI assigned
- Oct 11, 2006
- 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 | SP556 | ME | Primary |
Addresses
Primary practice location
5 Gendron Dr
Lewiston, ME 04240-1048
Mailing address
130 Plains Rd
Readfield, ME 04355-3110
Phone (207) 449-8006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258080099 | Medicaid | ME |
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 |
|---|---|---|---|
| SP556 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffiths Associates | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1407944697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PLAINS RD",
"city": "READFIELD",
"state": "ME",
"postal_code": "043553110",
"telephone_number": "207-449-8006",
"fax_number": "207-795-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GENDRON DR",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401048",
"telephone_number": "207-513-6352",
"fax_number": "207-795-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMREN-MARSCHALL",
"first_name": "DIANNE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258080099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.