Individual provider Active NPI

Danilda Lavandier Osunfisan, MS CCC-SLP

  • Speech-Language Pathologist
  • Franklin, VA
National Provider Identifier
1770828022
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15837 Issued in FL
Practice address
107 E 3Rd Ave
Franklin, VA 23851-1719
Phone
(757) 776-3088
Fax
(757) 612-4499
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA15837 FL Primary
Speech-Language Pathologist 235Z00000X 2202010441 VA
Speech-Language Pathologist 235Z00000X 2011018661 MO

Addresses

Primary practice location

107 E 3Rd Ave
Franklin, VA 23851-1719

Mailing address

4500 N State Road 7 Ste 214
Lauderdale Lakes, FL 33319-5882
Phone (954) 557-6632

Other identifiers 1

IdentifierTypeStateIssuer
022996600MedicaidFL

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2011018661MOMDSpeech-Language Pathologist
2202010441VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1770828022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N STATE ROAD 7 STE 214",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195882",
            "telephone_number": "954-557-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 3RD AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511719",
            "telephone_number": "757-776-3088",
            "fax_number": "757-612-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNFISAN",
        "first_name": "DANILDA",
        "middle_name": "LAVANDIER",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15837",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010441",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011018661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022996600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.