Individual provider Active NPI

Debbie R Patterson, CCC-SLP

  • Speech-Language Pathologist
  • Laguna Niguel, CA
National Provider Identifier
1306083837
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 17253 Issued in CA
Practice address
24862 Vista Magnifica
Laguna Niguel, CA 92677
Phone
(714) 713-1402
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 SP 17253 CA Primary

Addresses

Primary practice location

24862 Vista Magnifica
Laguna Niguel, CA 92677

Mailing address

24862 Vista Magnifica
Laguna Niguel, CA 92677-7551
Phone (714) 713-1402

Other practice location 1

2961 W MacArthur Blvd
127
Santa Ana, CA 92704-6913
Phone (714) 241-8815

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
SP 17253CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1306083837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24862 VISTA MAGNIFICA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777551",
            "telephone_number": "714-713-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24862 VISTA MAGNIFICA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "714-713-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2961 W MacArthur Blvd",
            "address_2": "127",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046913",
            "country_code": "US",
            "telephone_number": "714-241-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DEBBIE",
        "middle_name": "R",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.