Active NPI
Debra H Roberson, ST
- Speech-Language Pathologist
- Athens, AL
National Provider Identifier
1023224367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1308
- Practice address
- 661 US Highway 72 W
Athens, AL 35611-4211 - Phone
- (256) 233-9533
- Fax
- (256) 233-9535
- NPI assigned
- May 15, 2007
- 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 | 1308 | AL | Primary |
Addresses
Primary practice location
661 US Highway 72 W
Athens, AL 35611-4211
Mailing address
420 W Pinhook Rd
Suite a
Lafayette, LA 70503-2131
Phone (337) 233-1307
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023224367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W PINHOOK RD",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032131",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 US HIGHWAY 72 W",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114211",
"telephone_number": "256-233-9533",
"fax_number": "256-233-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "DEBRA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "1308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.