Individual provider Active NPI

Danielle Simon, SLP

  • Speech-Language Pathologist
  • Fargo, ND
National Provider Identifier
1851028575
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2384 Issued in ND
Practice address
4500 36TH Ave S
Fargo, ND 58104-5274
Phone
(701) 532-1507
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 2384 ND Primary

Addresses

Primary practice location

4500 36TH Ave S
Fargo, ND 58104-5274

Mailing address

4500 36TH Ave S Ste 200
Fargo, ND 58104-5275
Phone (701) 532-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808002987 ND Practitioner - Qualified Speech Language Pathologist 7214399245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2384NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
On Spot Therapy and Orofacial Myology, LLC Speech-Language Pathologist CurrentSince Jan 12, 2026 Accepting new patients
Quotable Kids Pediatric Therapy Clinic, PLLC CurrentSince Jun 4, 2023 Accepting new patients

Locations

4500 36th Ave S
Ste 200
Fargo, ND 58104
Phone (701) 532-1507

4500 36th Ave S
Fargo, ND 58104
Phone (701) 532-1507

2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1851028575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 36TH AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045275",
            "telephone_number": "701-532-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 36TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045274",
            "telephone_number": "701-532-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DANIELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.