Individual provider Active NPI

Lindsey C Debow, MS-CCC/SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1588805592
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8325 Issued in FL
Practice address
14055 Town Loop Blvd
Suite 300
Orlando, FL 32837-6105
Phone
(407) 857-6285
Fax
(407) 857-9566
NPI assigned
Mar 20, 2009
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 SA 8325 FL Primary

Addresses

Primary practice location

14055 Town Loop Blvd
Suite 300
Orlando, FL 32837-6105

Mailing address

1946 Sherbourne St
Winter Garden, FL 34787-4603
Phone (321) 437-3393

Other identifiers 1

IdentifierTypeStateIssuer
889621600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213002075 FL Practitioner - Qualified Speech Language Pathologist 8921381161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 8325FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Speech Specialists, Inc. Speech-Language Pathologist CurrentSince Jun 20, 2023 Accepting new patients

Locations

6965 Piazza Grande Ave
Ste 208
Orlando, FL 32835
Phone (321) 437-3393

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1588805592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 SHERBOURNE ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874603",
            "telephone_number": "321-437-3393",
            "fax_number": "321-437-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 TOWN LOOP BLVD",
            "address_2": "SUITE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376105",
            "telephone_number": "407-857-6285",
            "fax_number": "407-857-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOW",
        "first_name": "LINDSEY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889621600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.