Individual provider Active NPI

Danielle Jacqueline Shore Giarratano, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Fort Lauderdale, FL
National Provider Identifier
1760048730
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16027 Issued in FL
Practice address
1522 SW 10TH Ave
Fort Lauderdale, FL 33315-1621
Phone
(772) 236-0355
NPI assigned
May 15, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 SA16027 FL Primary

Addresses

Primary practice location

1522 SW 10TH Ave
Fort Lauderdale, FL 33315-1621

Mailing address

1522 SW 10TH Ave
Fort Lauderdale, FL 33315-1621
Phone (772) 236-0355

Other identifiers 1

IdentifierTypeStateIssuer
SA16027OtherFLSPEECH-LANGUAGE PATHOLOGY LICENSE

Other names 1

  • Danielle Jacqueline Shore 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
SA16027FLMDSpeech-Language Pathologist

Organizations & group practices 1

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1760048730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SW 10TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151621",
            "telephone_number": "772-236-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 SW 10TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151621",
            "telephone_number": "772-236-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARRATANO",
        "first_name": "DANIELLE",
        "middle_name": "JACQUELINE SHORE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY LICENSE",
            "identifier": "SA16027",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SHORE",
            "middle_name": "JACQUELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.