Gianna C Dickerson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14139 Issued in OH

Practice address

4040 Tamarack Dr
Parma, OH 44134-6266

Phone

(440) 572-1337

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• FM Speech Therapy LLC

  • Professional Counselor
  • Cleveland, OH
  • NPI 1609345479
  NPD (past)
• Steps Institute for Child Development

  • Community/Behavioral Health Agency
  • Parma, OH
  • NPI 1780532879
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1649828674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 NICHOLSON AVE APT 2",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072764",
            "telephone_number": "814-823-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 TAMARACK DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346266",
            "telephone_number": "440-572-1337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Detroit Ave Ste 136",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132701",
            "country_code": "US",
            "telephone_number": "216-282-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "GIANNA",
        "middle_name": "C",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14139",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "20191100-SP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "renee@therapedsohio.com",
            "affiliation": "N",
            "address_1": "2529 Detroit Ave Ste 136",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441132701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Igor Deynega, PHARM D.
• Kyle Dezse
• Aissata Diallo
• John Diantonio, DPT
• Rocco Dicicco, COUNSELOR
• Alice Dicola, L.P.C.C.,L.S.W.
• Digitrace Care Services Inc
• Anthony Dimarino, RD/LD
• Elizabeth Anne Dimmock
• Jesse A Dirando, MD

• Speech-Language Pathologist in Parma, OH
• Providers in Parma, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.