NPIMap

Individual provider Active NPI

Donna Watkins

  • Speech-Language Pathologist
  • Stamford, CT
National Provider Identifier
1497290886
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
001285 Issued in CT
Practice address
30 Buxton Farm Rd
Suite 105
Stamford, CT 06905-1224
Phone
(203) 674-8200
Fax
(203) 674-8202
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 001285 CT Primary

Addresses

Primary practice location

30 Buxton Farm Rd
Suite 105
Stamford, CT 06905-1224

Mailing address

30 Buxton Farm Rd
Suite 105
Stamford, CT 06905-1224
Phone (203) 674-8200

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
001285CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seed Center Past Accepting new patients
Center for Social Enrichment and Educational Development, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1497290886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-674-8200",
            "fax_number": "203-674-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-674-8200",
            "fax_number": "203-674-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "001285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.