Individual provider Active NPI

Danielle Gaff

  • Speech-Language Pathologist
  • South Bend, IN
National Provider Identifier
1902351067
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007218A Issued in IN
Practice address
1103 S 30TH St
South Bend, IN 46615-1813
Phone
(909) 522-7980
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 22007218A IN Primary

Addresses

Primary practice location

1103 S 30TH St
South Bend, IN 46615-1813

Mailing address

1103 S 30TH St
South Bend, IN 46615-1813
Phone (909) 522-7980

Other practice location 1

6848 Magnolia Ave
Riverside, CA 92506-2857
Phone (951) 779-1966

Other practice location 2

6848 Magnolia Ave
Riverside, CA 92506-2857
Phone (951) 779-1966

Other practice location 3

3530 Boone Trl
Fayetteville, NC 28306-2189
Phone (910) 748-0526

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

State licenses

LicenseStateTypeSpecialty
22007218AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Messy Speech and Language Therapy, LLC Speech-Language Pathologist CurrentSince May 12, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1902351067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S 30TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151813",
            "telephone_number": "909-522-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S 30TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151813",
            "telephone_number": "909-522-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6848 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062857",
            "country_code": "US",
            "telephone_number": "951-779-1966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6848 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062857",
            "country_code": "US",
            "telephone_number": "951-779-1966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283062189",
            "country_code": "US",
            "telephone_number": "910-748-0526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAFF",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007218A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.