Danielle McCallister, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

108 Kingsley Ave Ste 2
Orange Park, FL 32073-5686

Phone

(386) 288-6647

Fax

(904) 592-5333

NPI assigned

Sep 27, 2016

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

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

• Eat Play Learn Pediatric Therapy

  dba North Florida Speech & Reading Specialists

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1144862533
  NPD Authorized official
• Straight a Speech and Reading

  • Speech-Language Pathologist
  • Wasilla, AK
  • NPI 1669005658
  NPD Authorized official

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1598214975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 LAKE ASBURY DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439555",
            "telephone_number": "386-288-6647",
            "fax_number": "904-592-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KINGSLEY AVE STE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735686",
            "telephone_number": "386-288-6647",
            "fax_number": "904-592-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3543 E Meridian Park Loop",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547294",
            "country_code": "US",
            "telephone_number": "907-301-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "DANIELLE",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danielle@eatplaylearntherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1057 Lake Asbury Dr",
            "city": "Green Cove Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320439555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Mazerac
• Aylin Mazzuoccolo, DMD
• McAlpin Dental Group P.a.
• Ryan Daniel McAlpin, DMD
• Camila Daniela McArdle, PTA
• Kevin McCarthy, ARNP
• Michelle K McCarty
• Richard A. McCauley, M.D.
• Tyanna McCladdie, DO
• Alvin Michael McClain, R.PH.

• Speech-Language Pathologist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.