Individual provider Active NPI

Deborah Betts, M.S.

  • Speech-Language Pathologist
  • Olney, MD
National Provider Identifier
1083083562
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04073 Issued in MD
Practice address
17904 Georgia Ave
Suite 105a
Olney, MD 20832-2239
Phone
(301) 924-3021
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 04073 MD Primary

Addresses

Primary practice location

17904 Georgia Ave
Suite 105a
Olney, MD 20832-2239

Mailing address

7118 Wilson LN
Bethesda, MD 20817-4928
Phone (301) 924-3021

Other identifiers 1

IdentifierTypeStateIssuer
04073OtherMDMARYLAND LICENSE

Other names 1

  • Ms. Deborah Leader Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
04073MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1083083562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 WILSON LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174928",
            "telephone_number": "301-924-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE",
            "address_2": "SUITE 105A",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322239",
            "telephone_number": "301-924-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "04073",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "LEADER",
            "prefix": "MS.",
            "credential": "CCC-SLP, M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.