Debra Ann Smith, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4191 Issued in TN

Practice address

9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605

Phone

(865) 539-1928

Fax

(865) 539-6461

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Knoxville Integrated Developmental Services, Inc.

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1457525446
  NPD (past)
• Rehab Specialties, Inc.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1467455196
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1487721577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-539-1928",
            "fax_number": "865-539-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-539-1928",
            "fax_number": "865-539-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000941718A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla Smith, MPH, RDN, LDN
• Darlene Smith
• David Smith, OD
• Dean P Smith, MD
• Deanna Smith, LPN
• Delaney Rae Smith, OTR/L
• Denali K. Smith
• Dinah Smith
• Dustin Smith
• Ebonee Shynice Smith, LPN

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.