Individual provider Active NPI

Paige Deanice Connard, MS, CCC-SLP

  • Speech-Language Pathologist
  • Dublin, CA
National Provider Identifier
1760408181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9359 Issued in CA
Practice address
6106 Ledgewood Ter
Dublin, CA 94568-8820
Phone
(510) 331-3993
Fax
(925) 803-7701
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9359 CA Primary

Addresses

Primary practice location

6106 Ledgewood Ter
Dublin, CA 94568-8820

Mailing address

6106 Ledgewood Ter
Dublin, CA 94568-8820
Phone (510) 331-3993

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760408181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 LEDGEWOOD TER",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688820",
            "telephone_number": "510-331-3993",
            "fax_number": "925-803-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 LEDGEWOOD TER",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688820",
            "telephone_number": "510-331-3993",
            "fax_number": "925-803-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNARD",
        "first_name": "PAIGE",
        "middle_name": "DEANICE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.