Active NPI
Danielle Grigsby Eckman, M.S., CCC/SLP
- Speech-Language Pathologist
- Lexington, KY
National Provider Identifier
1982926713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-2592
- Practice address
- 119 S Ashland Ave
Lexington, KY 40502-1725 - Phone
- (859) 351-8025
- NPI assigned
- Feb 21, 2010
- 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 | KY-2592 | KY | Primary |
Addresses
Primary practice location
119 S Ashland Ave
Lexington, KY 40502-1725
Mailing address
119 S Ashland Ave
Lexington, KY 40502-1725
Phone (859) 351-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200925001839 | KY | Practitioner - Qualified Speech Language Pathologist | 9830518729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-2592 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1982926713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S ASHLAND AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021725",
"telephone_number": "859-351-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S ASHLAND AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021725",
"telephone_number": "859-351-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "DANIELLE",
"middle_name": "GRIGSBY",
"name_prefix": "Mrs.",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-21",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-2592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.