Individual provider Active NPI

Debra Harry, CCC-SLP

  • Speech-Language Pathologist
  • Greenwood Village, CO
National Provider Identifier
1003655770
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
304389 Issued in CO
Practice address
4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone
(303) 773-1184
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01084415 CO
Speech-Language Pathologist 235Z00000X 304389 CO Primary

Addresses

Primary practice location

4850 S Yosemite St
Greenwood Village, CO 80111-1308

Mailing address

4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone (303) 773-1184

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

LicenseStateTypeSpecialty
01084415COMDSpeech-Language Pathologist
304389COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Creek School District No. 5 CurrentSince May 26, 2024 Accepting new patients

Locations

4850 S Yosemite St
Greenwood Village, CO 80111
Phone (303) 773-1184

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1003655770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "303-773-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "303-773-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "DEBRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "01084415",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "304389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.