Debbra Laforge, RPT
Individual provider Active NPI Speech-Language Pathologist · Eureka, KS
NPI 1164633947 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164633947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 148 (KS)
- Practice address
- 1020 N School St
Eureka, KS 67045-1106 - Phone
- (615) 896-6400
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 148 | KS | Yes |
Addresses
Primary practice location
1020 N School St
Eureka, KS 67045-1106
Mailing address
439 Eunice St
El Dorado, KS 67042-3339
Phone (316) 775-7576
NPI Registry JSON
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164633947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 EUNICE ST",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670423339",
"telephone_number": "316-775-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N SCHOOL ST",
"city": "EUREKA",
"state": "KS",
"postal_code": "670451106",
"telephone_number": "615-896-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFORGE",
"first_name": "DEBBRA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, KS
- Greenwood County Hospital
- Martha Heffron
- Carla A Hilton
- Carey D Hurt
- Wilma Knowles
- Deena K Lighty
- Matthew Standridge, DDS, LLC
- Michael D McClintick
- Nancy J McKenzie
- Medicalodges, Inc.
All providers in Eureka, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.