Individual provider Active NPI

Deborah Lynne Doane, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Piney Flats, TN
National Provider Identifier
1205042272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000001040 Issued in TN
Practice address
1252 Weaver Branch Rd
Piney Flats, TN 37686-3714
Phone
(423) 747-0506
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP0000001040 TN Primary

Addresses

Primary practice location

1252 Weaver Branch Rd
Piney Flats, TN 37686-3714

Mailing address

1252 Weaver Branch Rd
Piney Flats, TN 37686-3714
Phone (423) 747-0506

Other identifiers 1

IdentifierTypeStateIssuer
3139664OtherTNBLUE CROSS BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP0000001040TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205042272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 WEAVER BRANCH RD",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376863714",
            "telephone_number": "423-747-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 WEAVER BRANCH RD",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376863714",
            "telephone_number": "423-747-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000001040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3139664",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piney Flats, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.