Jacob Glaser Donkin, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09500 Issued in MD

Practice address

1419 Forest Dr Ste 206
Annapolis, MD 21403-1473

Phone

(410) 280-9788

NPI assigned

Oct 5, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Danielle Lynn Googe

  • Speech-Language Pathologist
  • Annapolis, MD
  • NPI 1669521860
  NPD (past)

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1992346480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 OVERLEA RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162240",
            "telephone_number": "301-922-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR STE 206",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031473",
            "telephone_number": "410-280-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKIN",
        "first_name": "JACOB",
        "middle_name": "GLASER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-05",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01958L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Annapolis",
            "affiliation": "N",
            "address_1": "1419 Forest Dr Ste 206",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214031473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Donahue, AUD
• Abbey Donaldson, CRNP
• Katherine Rebecca Donaldson, NURSE PRACTITIONER
• Kianoush Donboli, MD
• Megan Dondarski, DO
• Donna G. Chambers, M.D., P.a.
• Donna G. Chambers, MD PA
• Donna Jasper D.O.
• Donna L Truax, LCSW-C, LLC
• Dominica P. Donnal, MD

• Speech-Language Pathologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.