Individual provider Active NPI

Darla Darty

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1578882064
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 11966 Issued in FL
Practice address
10435 Midtown Pkwy
Jacksonville, FL 32246-7483
Phone
(404) 909-7592
NPI assigned
May 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12776 CA
Speech-Language Pathologist 235Z00000X 3094 AL
Speech-Language Pathologist 235Z00000X SA 11966 FL Primary

Addresses

Primary practice location

10435 Midtown Pkwy
Jacksonville, FL 32246-7483

Mailing address

10435 Midtown Pkwy
Jacksonville, FL 32246-7483
Phone (404) 909-7592

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3094ALMDSpeech-Language Pathologist
12776CAMDSpeech-Language Pathologist
SA 11966FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vakil Therapeutic Services PastSince Jun 1, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1578882064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 MIDTOWN PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467483",
            "telephone_number": "404-909-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 MIDTOWN PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467483",
            "telephone_number": "404-909-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTY",
        "first_name": "DARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-23",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12776",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3094",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.