Donna K Vanackeren

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 00003552 Issued in WA

Practice address

3939 San Juan Ave
Port Townsend, WA 98368-3323

Phone

(360) 379-4366

Fax

(360) 379-4548

NPI assigned

Nov 30, 2012

Last updated

Nov 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1487999546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SAN JUAN AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983683323",
            "telephone_number": "360-379-4366",
            "fax_number": "360-379-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN JUAN AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983683323",
            "telephone_number": "360-379-4366",
            "fax_number": "360-379-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANACKEREN",
        "first_name": "DONNA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuko Umeda, R.N.
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• Sheena Uritz
• James R Vanmeter, MSN, RN, CS, PMHNP
• Sandra Vanvig, ARNP
• James Vanwert, LMT
• Danielle Leanne Vasenda
• Pavel N Vasilyuk, DDS

• Speech-Language Pathologist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.