Active NPI
Dana Ipsen
- Speech-Language Pathologist
- Kissimmee, FL
National Provider Identifier
1487232005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21129
- Practice address
- 1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439 - Phone
- (800) 378-7597
- NPI assigned
- Apr 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10098 | FL | |
| Speech-Language Pathologist | 235Z00000X | 21129 | FL | Primary |
Addresses
Primary practice location
1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439
Mailing address
7756 Moser Ave
Windermere, FL 34786-6739
Phone (941) 524-7428
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 |
|---|---|---|---|
| 21129 | FL | MD | Occupational Therapist |
| 10098 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1487232005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7756 MOSER AVE",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866739",
"telephone_number": "941-524-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N CENTRAL AVE STE 110",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414439",
"telephone_number": "800-378-7597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPSEN",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "10098",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "21129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.