Dakshika Wijayanthie Bandaranayake

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

141115 Issued in KY

Practice address

90 Alexandria Pike Ste 4-7
Fort Thomas, KY 41075-4108

Phone

(859) 442-7000

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Active Day Ky, Inc.

  • Adult Day Care Clinic/Center
  • Fort Thomas, KY
  • NPI 1295873032
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1881237360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 MELODY DR",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410916902",
            "telephone_number": "513-658-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALEXANDRIA PIKE STE 4-7",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754108",
            "telephone_number": "859-442-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARANAYAKE",
        "first_name": "DAKSHIKA",
        "middle_name": "WIJAYANTHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "141115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Danielle Arias, PA-C
• Gail Lynn Bacis, MSW
• Jennifer N Bailey, RN
• Sundeep Singh Bajwa, DO
• Russell Alan Ball, LPCC
• Abdul Latif Banire, PA-C
• Christopher Banner, CRNA
• Shelley Barnett, BS
• Barrington Place, LLC
• Samuel Barth

• All providers in Fort Thomas, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.