Danielle Cermak, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60690799 Issued in WA

Practice address

1113 Legion Way SE
Olympia, WA 98501-1652

Phone

(360) 596-7530

Fax

(360) 596-7531

NPI assigned

Oct 17, 2016

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  WA

  Medicare reassignment
• Olympia School District

  • Local Education Agency (LEA)
  • Olympia, WA
  • NPI 1922024678
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1639620404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 LEGION WAY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011652",
            "telephone_number": "360-596-7530",
            "fax_number": "360-596-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 LEGION WAY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011652",
            "telephone_number": "360-596-7530",
            "fax_number": "360-596-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERMAK",
        "first_name": "DANIELLE",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60690799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Ceazan, M.D.
• Stephanie Cederholm, LMP
• Cellnetix Labs, LLC
• Kara Lynn Cereghino, LMP
• Adis Ceric
• Katie Scarlett Alexandra Cespedes, LMHC
• Alexander Victor Chaban, DO
• Enoc Billy Finagnon Chacha, HUB-CMI
• King Sean Chacha
• Ana Rosa Chacon Lobato

• Speech-Language Pathologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.