Individual provider Active NPI

Debra L Bramson, SLP

  • Speech-Language Pathologist
  • Lockport, NY
National Provider Identifier
1154639581
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005860-1 Issued in NY
Practice address
28 Harding Ave
Lockport, NY 14094-6021
Phone
(716) 478-4441
Fax
(716) 478-6857
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 005860-1 NY Primary

Addresses

Primary practice location

28 Harding Ave
Lockport, NY 14094-6021

Mailing address

28 Harding Ave
Lockport, NY 14094-6021
Phone (716) 870-6218

Other practice location 1

51 High St
Lockport, NY 14094-4333
Phone (716) 478-4753

Other names 1

  • Debra Boos 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

State licenses

LicenseStateTypeSpecialty
005860-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1154639581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HARDING AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946021",
            "telephone_number": "716-870-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARDING AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946021",
            "telephone_number": "716-478-4441",
            "fax_number": "716-478-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 High St",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140944333",
            "country_code": "US",
            "telephone_number": "716-478-4753",
            "fax_number": "716-478-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMSON",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005860-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BOOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.