Active NPI
Deanna Nicole Dailey, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Abingdon, VA
National Provider Identifier
1760718902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202005329
- Practice address
- 25298 Lee Hwy
Abingdon, VA 24211-7460 - Phone
- (276) 698-3104
- Fax
- (276) 698-3110
- NPI assigned
- Oct 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005329 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | 0000006541 | TN |
Addresses
Primary practice location
25298 Lee Hwy
Abingdon, VA 24211-7460
Mailing address
25298 Lee Hwy
Abingdon, VA 24211-7460
Phone (276) 698-3104
Other names 1
- Deanna Nicole Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000006541 | TN | MD | Speech-Language Pathologist |
| 2202005329 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Therapy & Balance Center LLC | Current | Accepting new patients | |
| Deborah L Curlee Communication Consultants Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
26208 Lee Hwy
Abingdon, VA 24211
Phone (276) 258-5537
25298 Lee Hwy
Abingdon, VA 24211
Phone (276) 698-3104
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Abingdon, VA
- NPI 1710186853
-
- Speech-Language Pathologist
- Knoxville, TN
- NPI 1568470599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1760718902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25298 LEE HWY",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117460",
"telephone_number": "276-698-3104",
"fax_number": "865-769-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25298 LEE HWY",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117460",
"telephone_number": "276-698-3104",
"fax_number": "276-698-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "DEANNA",
"middle_name": "NICOLE",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202005329",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000006541",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "JOHNSON",
"middle_name": "NICOLE",
"credential": "SPEECH LANGUAGE PATH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.