Debra Anderson, ED.D, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01851 Issued in MD

Practice address

111 Michigan Ave NW
Washington, DC 20010-2916

Phone

(202) 476-5600

Fax

(202) 476-2163

NPI assigned

Sep 10, 2013

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Francis Marion University

  • Psychologist
  • Florence, SC
  • NPI 1366033607
  Medicare reassignment NPD
• Trans4Mation Services, LLC

  • Speech-Language Pathologist
  • Fort Washington, MD
  • NPI 1992533434
  NPD Authorized official
• Francis Marion University

  • Speech-Language Pathologist
  • Florence, SC
  • NPI 1538750880
  NPD

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1629403688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-5600",
            "fax_number": "202-476-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-5600",
            "fax_number": "202-476-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Children's Health Center - Anacostia",
            "address_2": "2101 Martin Luther King Avenue, 5th floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20020",
            "country_code": "US",
            "telephone_number": "202-476-6900 x6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DEBRA",
        "credential": "ED.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001913",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "000794",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chauntyse Anderson
• Conneshia Anderson
• Cynthia Roseberry Anderson, MD
• Darnell Marquett Anderson
• Darryl Lamont Anderson
• Denise Anderson
• Derrick Deshawn Anderson, PHARMD
• Diamond Anderson
• Don Anderson
• Ebony D. Anderson

• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.