Active NPI
Carly Marie Deegan, MS, CCC/SLP
- Speech-Language Pathologist
- New Port Richey, FL
National Provider Identifier
1386246403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18493
- Practice address
- 6245 State Road 54
New Port Richey, FL 34653-6006 - Phone
- (727) 376-1111
- Fax
- (727) 376-1113
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA18493 | FL | Primary |
Addresses
Primary practice location
6245 State Road 54
New Port Richey, FL 34653-6006
Mailing address
6245 State Road 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111
Other practice location 1
1226 Mariner Blvd
Spring Hill, FL 34609-5657
Phone (727) 376-1111
Other practice location 2
5741 Gall Blvd
Zephyrhills, FL 33542-3453
Phone (727) 376-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA18493 | Other | FL | ST OF FL, DEPT OF HEALTH, BRD OF SLP |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA18493 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1386246403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536006",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346536006",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113"
}
],
"practiceLocations": [
{
"address_1": "1226 Mariner Blvd",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346095657",
"country_code": "US",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5741 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335423453",
"country_code": "US",
"telephone_number": "727-376-1111",
"fax_number": "727-376-1113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEEGAN",
"first_name": "CARLY",
"middle_name": "MARIE",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST OF FL, DEPT OF HEALTH, BRD OF SLP",
"identifier": "SA18493",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.