Individual provider Active NPI

Debra Lynn Bielek, CCC-SLP

  • Speech-Language Pathologist
  • Mission Viejo, CA
National Provider Identifier
1053867556
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518
Phone
(949) 616-4573
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

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

Addresses

Primary practice location

27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518

Mailing address

13300 E Via Linda
#1029
Scottsdale, AZ 85259-4344
Phone (949) 616-4573

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

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1053867556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 E VIA LINDA",
            "address_2": "#1029",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594344",
            "telephone_number": "949-616-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 PUERTA REAL",
            "address_2": "SUITE 450",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918518",
            "telephone_number": "949-616-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELEK",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.