Daniella Trujillo, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15622 Issued in FL

Practice address

811 E Washington Ave # Wi
Madison, WI 53703-3688

Phone

(844) 536-8266

NPI assigned

Aug 23, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kinetic Kids, Inc

  • Developmental Disabilities Clinic/Center
  • Miami, FL
  • NPI 1528323292
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1659826220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 COMMERCE WAY APT 279",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161628",
            "telephone_number": "813-527-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON AVE # WI",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033688",
            "telephone_number": "844-536-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3759 Gunn Highway",
            "address_2": "Suite 306 #B117",
            "address_purpose": "LOCATION",
            "city": "Tampa, FL",
            "state": "FL",
            "postal_code": "33618",
            "country_code": "US",
            "telephone_number": "865-209-4035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Broadway Street",
            "address_2": "STE 314C",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "80302",
            "country_code": "US",
            "telephone_number": "856-209-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "DANIELLA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7742",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• True North Psychotherapy Services
• Kathryn M True, NP
• Abigail Trueblood
• Truepath Supportive Living LLC
• Daniel Gray Trujillo, MD
• Juanita Ann Trujillo, APNP
• Emily Truman
• Julianne Truman, RD
• Madonna Trumm
• Samuel Walker Trump, MD

• Speech-Language Pathologist in Madison, WI
• Providers in Madison, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.