Daniel Mark Gifford, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

464154 Issued in WI

Practice address

1701 Sharp Rd
Lakeview Specialty Hospital
Waterford, WI 53185

Phone

(262) 534-7297

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Heritage Healthcare Group, LLC

  • Registered Dietitian
  • Milwaukee, WI
  • NPI 1225392046
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1811178478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N MILWAUKEE ST",
            "address_2": "SUITE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025803",
            "telephone_number": "888-389-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHARP RD",
            "address_2": "LAKEVIEW SPECIALTY HOSPITAL",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "53185",
            "telephone_number": "262-534-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "464154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fox River Pedorthics, LLC
• Christine Fregien, PTA
• Tara Frost, BSN
• Megan Funk
• Jenny R Geiger-Putra, D.C.
• Jeffrey Scott Gilane, B.A., H.I.S.
• George E Gilmore IV, M.D.
• Mary Jo Glaspey, RN
• Kristin Gorenc, RN, IBCLC
• Mary Grajewski

• Speech-Language Pathologist in Waterford, WI
• Providers in Waterford, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.