Individual provider Active NPI

Carol Deberardinis, SPP

  • Speech-Language Pathologist
  • New Castle, DE
National Provider Identifier
1144455189
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01-0000143 Issued in DE
Practice address
318 E Basin Rd
New Castle, DE 19720-4214
Phone
(302) 449-3602
Fax
(302) 376-6796
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 01-0000143 DE Primary

Addresses

Primary practice location

318 E Basin Rd
New Castle, DE 19720-4214

Mailing address

318 E Basin Rd
New Castle, DE 19720-4214
Phone (302) 449-3602

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

LicenseStateTypeSpecialty
01-0000143DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1144455189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E BASIN RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204214",
            "telephone_number": "302-449-3602",
            "fax_number": "302-376-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E BASIN RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204214",
            "telephone_number": "302-449-3602",
            "fax_number": "302-376-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERARDINIS",
        "first_name": "CAROL",
        "credential": "SPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "01-0000143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.