Active NPI
Danielle Nicole Waters, MA CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1558760355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14022
- Practice address
- 4680 Lake Underhill Rd
Orlando, FL 32807-1182 - Phone
- (407) 852-3300
- NPI assigned
- Aug 18, 2014
- 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 | SZ6765 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA14022 | FL | Primary |
Addresses
Primary practice location
4680 Lake Underhill Rd
Orlando, FL 32807-1182
Mailing address
4657 Lake Calabay Dr
Orlando, FL 32837-5473
Phone (407) 312-8411
Other practice location 1
3305 S Orange Ave
Orlando, FL 32806-6125
Phone (407) 852-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012957700 | Medicaid | FL |
Other names 1
- Danielle Nicole Morone
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 |
|---|---|---|---|
| SA14022 | FL | MD | Speech-Language Pathologist |
| SZ6765 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1558760355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4657 LAKE CALABAY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328375473",
"telephone_number": "407-312-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071182",
"telephone_number": "407-852-3300"
}
],
"practiceLocations": [
{
"address_1": "3305 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328066125",
"country_code": "US",
"telephone_number": "407-852-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATERS",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ6765",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012957700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "MORONE",
"middle_name": "NICOLE",
"credential": "MA CCC-SLP",
"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 Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.