Individual provider Active NPI

Danielle Heather Magurno, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1457752867
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13336 Issued in NC
Practice address
12624 Bannock Dr
Charlotte, NC 28277-2115
Phone
(845) 642-6173
NPI assigned
Sep 5, 2014
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 023953 NY
Speech-Language Pathologist 235Z00000X 13336 NC Primary
Speech-Language Pathologist 235Z00000X 023953-1 NY
Speech-Language Pathologist 235Z00000X 8956 SC
Speech-Language Pathologist 235Z00000X 004876 CT

Addresses

Primary practice location

12624 Bannock Dr
Charlotte, NC 28277-2115

Mailing address

12624 Bannock Dr
Charlotte, NC 28277-2115
Phone (845) 642-6173

Other identifiers 2

IdentifierTypeStateIssuer
13336OtherNCSLP LICENSURE
8956OtherSCSLP LICENSURE

Other names 1

  • Danielle Heather Leibert Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
023953-1NYMDPhysical Therapist
023953NYMDOccupational Therapist
004876CTMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1457752867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 BANNOCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772115",
            "telephone_number": "845-642-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12624 BANNOCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772115",
            "telephone_number": "845-642-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGURNO",
        "first_name": "DANIELLE",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023953",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13336",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023953-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8956",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSURE",
            "identifier": "13336",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSURE",
            "identifier": "8956",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "LEIBERT",
            "middle_name": "HEATHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.