Individual provider Active NPI

Deborah J Fisher, MS CCC SLP

  • Speech-Language Pathologist
  • Scottsbluff, NE
National Provider Identifier
1467657395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
588 Issued in NE
Practice address
111 W 36TH St
Scottsbluff, NE 69361-4623
Phone
(308) 635-2019
NPI assigned
Jun 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 588 NE Primary

Addresses

Primary practice location

111 W 36TH St
Scottsbluff, NE 69361-4623

Mailing address

980 5TH St
Gering, NE 69341
Phone (308) 436-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231104000655 NE Practitioner - Qualified Speech Language Pathologist 9739536210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Rehab LLCGroup PAC ID 0143478453, 25 clinicians

Practice addresses (Care Compare)

1102 W 42ND St
Scottsbluff, NE 69361-4711
Phone (877) 358-8067

617 W 33Rd St
Scottsbluff, NE 69361-4590
Phone (308) 632-1760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Rehab, LLC Speech-Language Pathologist CurrentSince Sep 30, 2023 Accepting new patients

Locations

5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467657395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 5TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "69341",
            "telephone_number": "308-436-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 36TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614623",
            "telephone_number": "308-635-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.