Active NPI
Molli Donovan, MA, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1548512072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA13005
- Practice address
- 8444 Morehouse Dr
Orlando, FL 32836-5833 - Phone
- (740) 352-6557
- Fax
- (740) 352-6557
- NPI assigned
- Oct 8, 2012
- Last updated
- Dec 1, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S7 5911 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA13005 | FL | Primary |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
8444 Morehouse Dr
Orlando, FL 32836-5833
Mailing address
8444 Morehouse Dr
Orlando, FL 32836-5833
Phone (740) 352-6557
Other names 1
- Molli Brown
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7 5911 | FL | MD | Speech-Language Pathologist |
| SA13005 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1548512072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 MOREHOUSE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365833",
"telephone_number": "740-352-6557",
"fax_number": "740-352-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8444 MOREHOUSE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365833",
"telephone_number": "740-352-6557",
"fax_number": "740-352-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "MOLLI",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "S7 5911",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13005",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLI",
"last_name": "BROWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.