Active NPI
Danielle Edmond, MA CCC SLP
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1912029372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 000284
- Practice address
- 6111 Dix St NE
Washington, DC 20019-2878 - Phone
- (202) 746-8230
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004264A | IN | |
| Speech-Language Pathologist | 235Z00000X | 000284 | DC | Primary |
| Speech-Language Pathologist | 235Z00000X | 06308 | MD |
Addresses
Primary practice location
6111 Dix St NE
Washington, DC 20019-2878
Mailing address
6111 Dix St NE
Washington, DC 20019-2878
Phone (202) 746-8230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200812330A | Medicaid | IN |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06308 | MD | MD | Occupational Therapist |
| 000284 | DC | MD | Speech-Language Pathologist |
| 22004264A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1912029372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6111 DIX ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192878",
"telephone_number": "202-746-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 DIX ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192878",
"telephone_number": "202-746-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMOND",
"first_name": "DANIELLE",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22004264A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "000284",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06308",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200812330A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.