Individual provider Active NPI

Deborah Lynn Brady, MA CCC SLP

  • Speech-Language Pathologist
  • Sparta, NC
National Provider Identifier
1588640809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2474 Issued in NC
Practice address
289 Westview Dr
Sparta, NC 28675-8211
Phone
(336) 372-4402
Fax
(336) 372-7420
NPI assigned
Dec 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2474 NC Primary

Addresses

Primary practice location

289 Westview Dr
Sparta, NC 28675-8211

Mailing address

289 Westview Dr
Sparta, NC 28675-8211
Phone (336) 372-4402

Other identifiers 2

IdentifierTypeStateIssuer
7412518MedicaidNC
01089394OtherASHA

Other names 1

  • Mrs. Deborah Whitehurst Brady Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2474NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588640809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WESTVIEW DR",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758211",
            "telephone_number": "336-372-4402",
            "fax_number": "336-372-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WESTVIEW DR",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758211",
            "telephone_number": "336-372-4402",
            "fax_number": "336-372-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412518",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01089394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BRADY",
            "middle_name": "WHITEHURST",
            "prefix": "MRS.",
            "credential": "MA CCC SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.