Active NPI
Dianne Spragale
- Speech-Language Pathologist
- Plymouth Meeting, PA
National Provider Identifier
1972728616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000534L
- Practice address
- Kencrest Services
502 W Germantown Pike, Suite 200
Plymouth Meeting, PA 19462 - Phone
- (610) 825-9360
- Fax
- (610) 825-2414
- NPI assigned
- Apr 16, 2007
- 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 | SL000534L | PA | Primary |
Addresses
Primary practice location
Kencrest Services
502 W Germantown Pike, Suite 200
Plymouth Meeting, PA 19462
Mailing address
Kencrest Services
502 W Germantown Pike, Suite 200
Plymouth Meeting, PA 19462
Phone (610) 825-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019342540004 | Other | PA | MA |
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 |
|---|---|---|---|
| SL000534L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972728616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KENCREST SERVICES",
"address_2": "502 W GERMANTOWN PIKE, SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-825-9360",
"fax_number": "610-825-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KENCREST SERVICES",
"address_2": "502 W GERMANTOWN PIKE, SUITE 200",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-825-9360",
"fax_number": "610-825-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGALE",
"first_name": "DIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000534L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA",
"identifier": "0019342540004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.