Active NPI
Dara Hope Reese, M.S., CCC-SLP
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1700309770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10363
- Practice address
- 32 Eastlake Dr
Palm Coast, FL 32137-1520 - Phone
- (941) 809-4509
- NPI assigned
- Jul 21, 2017
- Last updated
- Sep 6, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7464 | FL | |
| Speech-Language Pathologist | 235Z00000X | 12436 | NC | |
| Speech-Language Pathologist | 235Z00000X | 10363 | MD | Primary |
Addresses
Primary practice location
32 Eastlake Dr
Palm Coast, FL 32137-1520
Mailing address
32 Eastlake Dr
Palm Coast, FL 32137-1520
Phone (941) 809-4509
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA7464 | FL | MD | Speech-Language Pathologist |
| 10363 | MD | MD | Speech-Language Pathologist |
| 12436 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1700309770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 EASTLAKE DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321371520",
"telephone_number": "941-809-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 EASTLAKE DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321371520",
"telephone_number": "941-809-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "DARA",
"middle_name": "HOPE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7464",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12436",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "10363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.