Individual provider Active NPI

Deborah Ann Reagan, MACCC/SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1427588334
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP000060 Issued in DC
Practice address
4601 Connecticut Ave NW Ste 1
Washington, DC 20008-5700
Phone
(202) 237-2927
Fax
(202) 244-8250
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 SLP000060 DC Primary

Addresses

Primary practice location

4601 Connecticut Ave NW Ste 1
Washington, DC 20008-5700

Mailing address

3428 Patterson St NW
Washington, DC 20015-2556
Phone (202) 362-1515

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
SLP000060DCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Speech Pathology Group Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1427588334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 PATTERSON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152556",
            "telephone_number": "202-362-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CONNECTICUT AVE NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085700",
            "telephone_number": "202-237-2927",
            "fax_number": "202-244-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "MACCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.