Debra Kathryn Hainisch, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13420 Issued in OR

Practice address

2600 NE Neff Rd
Bend, OR 97701-6337

Phone

(541) 706-6843

Fax

(541) 598-3444

NPI assigned

Aug 18, 2020

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Nova Southeastern College of Osteo Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonos NeurotherapiesGroup PAC ID 3678790375, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sonos Neurotherapies

  • Hearing and Speech Clinic/Center
  • Bend, OR
  • NPI 1326467853

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Speechworks LLC

  dba BreatheWorks

  • Speech-Language Pathologist
  • Lake Oswego, OR
  • NPI 1922746619
  Medicare reassignment
• St. Charles Health System, Inc.

  dba St. Charles Medical Supply - Redmond

  • Oxygen Equipment & Supplies (DME)
  • Redmond, OR
  • NPI 1427140870
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1184236416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561340",
            "telephone_number": "541-516-3800",
            "fax_number": "541-598-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016337",
            "telephone_number": "541-706-6843",
            "fax_number": "541-598-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 NW Canal Blvd",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561340",
            "country_code": "US",
            "telephone_number": "541-516-3800 x5586",
            "fax_number": "541-598-3457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINISCH",
        "first_name": "DEBRA",
        "middle_name": "KATHRYN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haggen Opco North LLC (Haggen Pharmacy #2087)
• Lindsay Hagler, ATC
• Dave A Haglund
• Kenneth Alan Hahn, MD
• Kourtney Michele Haigh, LPC
• Amida Hair, DPM
• Andrew Spenser Hair, MD
• David Guy Hakanson, MS
• Lisa Elaine Hake, MD
• Halcrow Chiropractic & Massage, PC

• Speech-Language Pathologist in Bend, OR
• Providers in Bend, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.