Individual provider Active NPI

Dan'Elle Nelson

  • Speech-Language Pathologist
  • Harper Woods, MI
National Provider Identifier
1710236658
Registry record updated Apr 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
20542 Harper Ave
Suite 109
Harper Woods, MI 48225-1693
Phone
(313) 571-3908
Fax
(313) 571-3909
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2013

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 Primary

Addresses

Primary practice location

20542 Harper Ave
Suite 109
Harper Woods, MI 48225-1693

Mailing address

18601 Bainbridge Dr
Southfield, MI 48076-5312
Phone (248) 792-7535

Other identifiers 1

IdentifierTypeStateIssuer
6065003OtherMIMEDICARE (PTAN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000050 MI Practitioner - Qualified Speech Language Pathologist 4284884362 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Therapy Solutions Speech-Language Pathologist Current Accepting new patients
Behavioral Outcomes Management,LLC Speech-Language Pathologist CurrentSince Aug 1, 2022 Accepting new patients
Irvine Neuro Rehabilitation CurrentSince Feb 15, 2023 Accepting new patients

Locations

20542 Harper Ave
Ste 109
Harper Woods, MI 48225
Phone (313) 571-3908

25750 Lahser Rd
Southfield, MI 48033
Phone (248) 415-2500

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366502400000",
    "number": "1710236658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 BAINBRIDGE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765312",
            "telephone_number": "248-792-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20542 HARPER AVE",
            "address_2": "SUITE 109",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251693",
            "telephone_number": "313-571-3908",
            "fax_number": "313-571-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAN'ELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN)",
            "identifier": "6065003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.