Deborah Lee Slocum, MAG, RD, LD/N, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3270 Issued in FL

Practice address

480 West Lowder Street
Baker County Health Department
Macclenny, FL 32063

Phone

(904) 259-6291

Fax

(904) 259-1950

NPI assigned

Nov 5, 2008

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Deborah Lee Crowser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1013161033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FOX RUN CIR",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320638607",
            "telephone_number": "904-588-8656",
            "fax_number": "904-276-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WEST LOWDER STREET",
            "address_2": "BAKER COUNTY HEALTH DEPARTMENT",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "32063",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MAG, RD, LD/N, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CROWSER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert D Sharpe
• Kassie Crews Shoup
• Tracie Elaine Sides, LMHC
• Amanda Nicole Simmons
• Rachel Sirois, APRN
• Camden Jakob Smith, D.D.S
• Jennifer Louise Snyder, MA
• Mary Elizabeth Southard, LMHC
• Southern Medical Clinic PA
• Sovereign Healthcare of Macclenny, LLC (MacClenny Nursing & Rehab Center)

• Registered Dietitian in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.