Debra Buffett

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5454 S Shore Dr Apt 922
Chicago, IL 60615-5995

Phone

(773) 213-8495

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Deborah Foundation

  • Physical Therapist
  • Chicago, IL
  • NPI 1215530456

  Speech-Language Assistant

  NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1023130523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 S SHORE DR APT 922",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155995",
            "telephone_number": "773-213-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 S SHORE DR APT 922",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155995",
            "telephone_number": "773-213-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFETT",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": "217000107",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vashti Bueso
• Corina M Buettner, O.D.
• Emily Nikolaus Buettner, LMFT
• Emmaline Jane Bufe, M.S., CCC-SLP
• Buff Babies, LLC
• Arlene Buford-Hines, MOTR/L
• Tasia Buford-Howell
• Charlisa Buford
• Loren Buford, LCSW
• Bernadette Fernandez Bugaoan, P.T.

• Case Manager/Care Coordinator in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.