Active NPI
Aimee Noelle Daniel, M.ED. CCC-SLP
- Speech-Language Pathologist
- Live Oak, FL
National Provider Identifier
1750722633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 12276
- Practice address
- 405 11TH St SW
Suite 205
Live Oak, FL 32064-3161 - Phone
- (386) 397-9416
- NPI assigned
- Jul 8, 2013
- Last updated
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 12276 | FL | Primary |
Addresses
Primary practice location
405 11TH St SW
Suite 205
Live Oak, FL 32064-3161
Mailing address
108 5TH St SW
Jasper, FL 32052-6068
Phone (386) 397-9416
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 12276 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1750722633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 5TH ST SW",
"city": "JASPER",
"state": "FL",
"postal_code": "320526068",
"telephone_number": "386-397-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 11TH ST SW",
"address_2": "SUITE 205",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320643161",
"telephone_number": "386-397-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "AIMEE",
"middle_name": "NOELLE",
"name_prefix": "Miss",
"credential": "M.ED. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 12276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
- Crater Lake Emergency Physicians LLC
- Stephanie Suzanne Crowe, M.S.
- Tracy L Crutchfield, ED.D., PSY.S.
- Taylor Cumbess, B.S. E.D. SLP-A
- D's Healthcare Transportation Inc.
- Tammy Lee Daniel, APRN
- Melissa Dionne Daniels, PHARMD, CPH
- Andrea Dasilva, SLP
- Omar Luis Del Llano
- Delta Health Group Inc (Suwannee Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.