Individual provider Active NPI

Danielle O'Donnell, M.S. XXX-SLP

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1821546193
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13825 Issued in NC
Practice address
300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024
Phone
(252) 916-1029
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 13825 NC Primary

Addresses

Primary practice location

300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024

Mailing address

403 S Grazing CT
Sneads Ferry, NC 28460-6854
Phone (847) 651-9381

Other practice location 1

97 New Dorp Ln
Staten Island, NY 10306-2364
Phone (718) 705-7981

Other practice location 2

764 US Route 1
Unit 4
York, ME 03909-5883
Phone (207) 351-3078

Other practice location 3

28 E 22nd St Ste 1
Bayonne, NJ 07002
Phone (862) 223-8002

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

State licenses

LicenseStateTypeSpecialty
13825NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiggle Worms Pediatric Physical Therapy, LLC Speech-Language Pathologist Past Accepting new patients
Wiggle Worms Pediatric Physical Therapy, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1821546193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S GRAZING CT",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284606854",
            "telephone_number": "847-651-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ARLINGTON BLVD STE 2B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585024",
            "telephone_number": "252-916-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 New Dorp Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062364",
            "country_code": "US",
            "telephone_number": "718-705-7981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 US Route 1",
            "address_2": "Unit 4",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039095883",
            "country_code": "US",
            "telephone_number": "207-351-3078",
            "fax_number": "207-351-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 E 22nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "07002",
            "country_code": "US",
            "telephone_number": "862-223-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "DANIELLE",
        "credential": "M.S. XXX-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.