Individual provider Active NPI

Diane Lori Lamonica, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1669619227
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7643 Issued in NC
Practice address
5813 Wrightsville Ave
#178
Wilmington, NC 28403-6532
Phone
(910) 399-1925
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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 7643 NC Primary

Addresses

Primary practice location

5813 Wrightsville Ave
#178
Wilmington, NC 28403-6532

Mailing address

5813 Wrightsville Ave
#178
Wilmington, NC 28403-6532
Phone (910) 399-1925

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

State licenses

LicenseStateTypeSpecialty
7643NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1669619227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 WRIGHTSVILLE AVE",
            "address_2": "#178",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036532",
            "telephone_number": "910-399-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 WRIGHTSVILLE AVE",
            "address_2": "#178",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036532",
            "telephone_number": "910-399-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONICA",
        "first_name": "DIANE",
        "middle_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.