Individual provider Active NPI

Dawn L Trotter

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1487114575
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05509 Issued in MD
Practice address
833 Glen Allen Dr
Baltimore, MD 21229-1425
Phone
(301) 848-8020
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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 05509 MD Primary

Addresses

Primary practice location

833 Glen Allen Dr
Baltimore, MD 21229-1425

Mailing address

833 Glen Allen Dr
Baltimore, MD 21229-1425
Phone (301) 848-8020

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
05509MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1487114575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 GLEN ALLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291425",
            "telephone_number": "301-848-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 GLEN ALLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291425",
            "telephone_number": "301-848-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "DAWN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.