Individual provider Active NPI

Donna C Xynidis, MS, SLP

  • Speech-Language Pathologist
  • Daytona Beach, FL
National Provider Identifier
1669832457
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 14264 Issued in FL
Practice address
216 Birkdale Dr
Daytona Beach, FL 32124-2050
Phone
(386) 864-9877
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 SA 14264 FL Primary

Addresses

Primary practice location

216 Birkdale Dr
Daytona Beach, FL 32124-2050

Mailing address

6215 Lorraine Rd
Lakewood Ranch, FL 34202-6708
Phone (941) 755-1400

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 Science

State licenses

LicenseStateTypeSpecialty
SA 14264FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1669832457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 LORRAINE RD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026708",
            "telephone_number": "941-755-1400",
            "fax_number": "941-755-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BIRKDALE DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321242050",
            "telephone_number": "386-864-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XYNIDIS",
        "first_name": "DONNA",
        "middle_name": "C",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 14264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.