Individual provider Active NPI

Ingrid Renee Desormes, CF-SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1134459043
Registry record updated Dec 29, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ4711 Issued in FL
Practice address
900 N Federal Hwy Ste 220
Boca Raton, FL 33432-2753
Phone
(561) 994-6590
NPI assigned
Dec 29, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 SZ4711 FL Primary

Addresses

Primary practice location

900 N Federal Hwy Ste 220
Boca Raton, FL 33432-2753

Mailing address

15000 Portofino Cir Apt 125
Palm Beach Gardens, FL 33418-1250
Phone (561) 541-3934

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SZ4711FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandler Rehab Services, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1134459043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 PORTOFINO CIR APT 125",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181250",
            "telephone_number": "561-541-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322753",
            "telephone_number": "561-994-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESORMES",
        "first_name": "INGRID",
        "middle_name": "RENEE",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.