Individual provider Active NPI

Deborah Perry

  • Speech-Language Pathologist
  • Denison, TX
National Provider Identifier
1285054767
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19306 Issued in TX
Practice address
68 Fawn Hollow Circle
Denison, TX 75020
Phone
(903) 815-8784
Fax
(903) 464-0101
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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 19306 TX Primary

Addresses

Primary practice location

68 Fawn Hollow Circle
Denison, TX 75020

Mailing address

68 Fawn Hollow Cir
Denison, TX 75020-0905
Phone (903) 815-8784

Other names 1

  • Deborah Kasselman-Perry Other 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
19306TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1285054767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FAWN HOLLOW CIR",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750200905",
            "telephone_number": "903-815-8784",
            "fax_number": "903-464-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 FAWN HOLLOW CIRCLE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-815-8784",
            "fax_number": "903-464-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "KASSELMAN-PERRY",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.