Active NPI
Danielle Sponable, CCC-SLP
- Speech-Language Pathologist
- Johnstown, NY
National Provider Identifier
1629627237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028996-01
- Practice address
- 235 Pleasant Ave
Johnstown, NY 12095-1110 - Phone
- (518) 726-8610
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 028996-01 | NY | Primary |
Addresses
Primary practice location
235 Pleasant Ave
Johnstown, NY 12095-1110
Mailing address
284 Red Schoolhouse Rd
Salisbury Center, NY 13454-1802
Phone (315) 794-1543
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsponable@johnstownschools.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028996-01 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1629627237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 RED SCHOOLHOUSE RD",
"city": "SALISBURY CENTER",
"state": "NY",
"postal_code": "134541802",
"telephone_number": "315-794-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLEASANT AVE",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120951110",
"telephone_number": "518-726-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPONABLE",
"first_name": "DANIELLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028996-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsponable@johnstownschools.org",
"affiliation": "N",
"address_1": "235 Pleasant Ave",
"city": "Johnstown",
"state": "NY",
"country_code": "US",
"postal_code": "120951110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.