Active NPI
Dana Braswell Doss, CCC-SLP
- Speech-Language Pathologist
- Sequim, WA
National Provider Identifier
1952320590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- DOHLL00001446
- Practice address
- 803 Carlsborg Rd
Suite C
Sequim, WA 98382-6710 - Phone
- (360) 504-2033
- Fax
- (360) 504-2569
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | DOHLL00001446 | WA | Primary |
Addresses
Primary practice location
803 Carlsborg Rd
Suite C
Sequim, WA 98382-6710
Mailing address
PO Box 40
Carlsborg, WA 98324-0040
Phone (360) 504-2033
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225467228 | Medicaid | WA | |
| 7095920 | Medicaid | WA | |
| 911945918 | Other | WA | TAX ID |
| BR0899 | Other | WA | BL CROSS BL SHIELD |
| 488496001 | Other | WA | GROUP HEALTH |
Other names 1
- Ms. Dana Braswell
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
| License | State | Type | Specialty |
|---|---|---|---|
| DOHLL00001446 | WA | MD | Speech-Language Pathologist |
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.
-
dba Dungeness Speech and Language
- Speech-Language Pathologist
- Sequim, WA
- NPI 1225467228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1952320590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CARLSBORG",
"state": "WA",
"postal_code": "983240040",
"telephone_number": "360-504-2033",
"fax_number": "360-504-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 CARLSBORG RD",
"address_2": "SUITE C",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983826710",
"telephone_number": "360-504-2033",
"fax_number": "360-504-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "DANA",
"middle_name": "BRASWELL",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "DOHLL00001446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225467228",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7095920",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "911945918",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BL CROSS BL SHIELD",
"identifier": "BR0899",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "488496001",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "BRASWELL",
"prefix": "MS.",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.