Virginia Katherine Daniel

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17974 Issued in OR

Practice address

17309 NE Glisan St
Portland, OR 97230-6412

Phone

(503) 253-4920

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Virginia Daniel Tyree Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1437898244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17309 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17309 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306412",
            "telephone_number": "503-253-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "VIRGINIA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "TYREE",
            "middle_name": "DANIEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayli Grace Daniel
• Lily Claire Daniel
• Morad M Daniel, M.D.
• Paul William Daniel
• Veronica Eileen Daniel, LCSW
• Danielle Baker
• Danielle Davis
• Danielle Lombardi, Acupuncture LLC
• Danielmoray Corporation
• Priscilla Daniels-Mark Grace Daniels-Mark I

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.