Individual provider Active NPI

Dianne Damren-Marschall, SLP

  • Speech-Language Pathologist
  • Lewiston, ME
National Provider Identifier
1407944697
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP556 Issued in ME
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

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
258080099MedicaidME

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

LicenseStateTypeSpecialty
SP556MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.