Individual provider Active NPI

Danielle Lucas, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Defiance, OH
National Provider Identifier
1689380875
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11900 Issued in OH
Practice address
28046 Watson Rd
Defiance, OH 43512-8851
Phone
(419) 395-1111
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 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 Former name

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
SP.11900OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ayersville Local SD PastSince Feb 8, 2023 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.

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.

Verify at the official NPI Registry.