Active NPI
Danielle Lucas, M.A., CCC/SLP
- Speech-Language Pathologist
- Defiance, OH
National Provider Identifier
1689380875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11900
- Practice address
- 28046 Watson Rd
Defiance, OH 43512-8851 - Phone
- (419) 395-1111
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.11900 | OH | Primary |
Addresses
Primary practice location
28046 Watson Rd
Defiance, OH 43512-8851
Mailing address
9650 State Route 613
Leipsic, OH 45856-9417
Phone (419) 969-4386
Other practice location 1
6950 Independence Rd
Defiance, OH 43512-9030
Phone (567) 444-4825
Other practice location 2
801 Joe E Brown Ave
Holgate, OH 43527-9802
Phone (419) 264-5141
Other names 1
- Danielle Schroeder
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.11900 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayersville Local SD | Past | Accepting new patients | |
| Holgate Local School District | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Defiance, OH
- NPI 1023258506
-
- Local Education Agency (LEA)
- Holgate, OH
- NPI 1790925451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1689380875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 STATE ROUTE 613",
"city": "LEIPSIC",
"state": "OH",
"postal_code": "458569417",
"telephone_number": "419-969-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28046 WATSON RD",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435128851",
"telephone_number": "419-395-1111"
}
],
"practiceLocations": [
{
"address_1": "6950 Independence Rd",
"address_purpose": "LOCATION",
"city": "Defiance",
"state": "OH",
"postal_code": "435129030",
"country_code": "US",
"telephone_number": "567-444-4825",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Joe E Brown Ave",
"address_purpose": "LOCATION",
"city": "Holgate",
"state": "OH",
"postal_code": "435279802",
"country_code": "US",
"telephone_number": "419-264-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "DANIELLE",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "SCHROEDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.