Individual provider Active NPI

Danielle Rose Malouff, MA,CCCC

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1972852804
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0455536 Issued in CO
Practice address
7565 Julynn Rd
Colorado Springs, CO 80919-4232
Phone
(719) 242-4545
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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 0455536 CO Primary

Addresses

Primary practice location

7565 Julynn Rd
Colorado Springs, CO 80919-4232

Mailing address

7565 Julynn Rd
Colorado Springs, CO 80919-4232
Phone (719) 242-4545

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

LicenseStateTypeSpecialty
0455536COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1972852804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 JULYNN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194232",
            "telephone_number": "719-242-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 JULYNN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194232",
            "telephone_number": "719-242-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUFF",
        "first_name": "DANIELLE",
        "middle_name": "ROSE",
        "credential": "MA,CCCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0455536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.