Individual provider Active NPI

Donna Lisa Menna, MA CCC SLP

  • Speech-Language Pathologist
  • Hauppauge, NY
National Provider Identifier
1659417988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10025-1 Issued in NY
Practice address
49 Wireless Blvd
Suite 170
Hauppauge, NY 11788-3935
Phone
(631) 382-7311
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10025-1 NY Primary

Addresses

Primary practice location

49 Wireless Blvd
Suite 170
Hauppauge, NY 11788-3935

Mailing address

16 Terrace Dr
Ronkonkoma, NY 11779-3129
Phone (516) 635-0592

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 Arts

State licenses

LicenseStateTypeSpecialty
10025-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659417988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TERRACE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793129",
            "telephone_number": "516-635-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WIRELESS BLVD",
            "address_2": "SUITE 170",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883935",
            "telephone_number": "631-382-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNA",
        "first_name": "DONNA",
        "middle_name": "LISA",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "10025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.