Active NPI
Jennifer Sue Donoughe, MS CCC SLP
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1639364433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 27268
- Practice address
- 1601 Purdue Dr
Fayetteville, NC 28304-3674 - Phone
- (910) 672-0061
- Fax
- (910) 672-0061
- NPI assigned
- Sep 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6643 | NC | |
| Speech-Language Pathologist | 235Z00000X | 27268 | CA | Primary |
Addresses
Primary practice location
1601 Purdue Dr
Fayetteville, NC 28304-3674
Mailing address
1601 Purdue Dr
Fayetteville, NC 28304-3674
Phone (910) 672-0061
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6643 | NC | MD | Clinical Psychologist |
| 27268 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1639364433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PURDUE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043674",
"telephone_number": "910-672-0061",
"fax_number": "910-672-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PURDUE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043674",
"telephone_number": "910-672-0061",
"fax_number": "910-672-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOUGHE",
"first_name": "JENNIFER",
"middle_name": "SUE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6643",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.