Active NPI
Dona Diane King, SLP
- Speech-Language Pathologist
- Livingston, TX
National Provider Identifier
1487661856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146002991
- Practice address
- 440 Highway 59 Loop S
Ste 104
Livingston, TX 77351-9096 - Phone
- (936) 328-8148
- Fax
- (936) 327-2491
- NPI assigned
- Aug 1, 2006
- Last updated
- May 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 146002991 | Primary | |
| Speech-Language Pathologist | 235Z00000X | 107336 | TX |
Addresses
Primary practice location
440 Highway 59 Loop S
Ste 104
Livingston, TX 77351-9096
Mailing address
830 Franklin St
Charleston, IL 61920-3129
Phone (217) 259-2953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001532016 | Other | IL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 107336 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Rehabilitation,LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crow Therapies
- Rehabilitation Clinic/Center
- Livingston, TX
- NPI 1588978613
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1487661856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 FRANKLIN ST",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619203129",
"telephone_number": "217-259-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 HIGHWAY 59 LOOP S",
"address_2": "STE 104",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773519096",
"telephone_number": "936-328-8148",
"fax_number": "936-327-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DONA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "146002991",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107336",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001532016",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.