Active NPI
Dana Walsh
- Speech-Language Pathologist
- Lindenhurst, NY
National Provider Identifier
1790469476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 887 Kellum St
Lindenhurst, NY 11757-1508 - Phone
- (631) 884-3000
- NPI assigned
- Jun 13, 2023
- 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 | Primary |
Addresses
Primary practice location
887 Kellum St
Lindenhurst, NY 11757-1508
Mailing address
PO Box 12
Middle Island, NY 11953-0012
Phone (631) 924-0008
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Kids Early Childhood Learning Center | Current | Accepting new patients | |
| Just Kids Diagnostic and Treatment Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21444/brand/1/csg/1/fhir/r4
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.
-
- Licensed Practical Nurse
- Middle Island, NY
- NPI 1528786076
-
- Clinic/Center
- Middle Island, NY
- NPI 1265570493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1790469476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119530012",
"telephone_number": "631-924-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 KELLUM ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117571508",
"telephone_number": "631-884-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "DANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.