Bernette Johnelle Downs, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP000399 Issued in DC

Practice address

2727 Friday Harbor Dr
Sykesville, MD 21784-6941

Phone

(202) 230-3939

Fax

(202) 330-5001

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speech Factory LLC

  • Speech-Language Pathologist
  • Takoma Park, MD
  • NPI 1386894012
  NPD Authorized official

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1740606979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 FRIDAY HARBOR DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846941",
            "telephone_number": "202-230-3939",
            "fax_number": "202-330-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 FRIDAY HARBOR DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846941",
            "telephone_number": "202-230-3939",
            "fax_number": "202-330-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "BERNETTE",
        "middle_name": "JOHNELLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05977",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338705400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338705401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Defendorf, LCSW-C
• Michael Kent Delano, MD
• Amy Irene Desantis, DPT
• Destilee Consulting LLC
• Dialog Healthcare LLC
• Dr Wilbur Kuo & Associates Internal Medicine LLC
• Mary Dregely, RN
• Cortnie Dubinski
• Chelsea Dunn
• Zachary James Egolf, PTA

• Speech-Language Pathologist in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.