Debra W Bankston, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12719 Issued in TX

Practice address

4100 S Medford Dr Ste 208
Lufkin, TX 75901

Phone

(936) 639-3007

Fax

(936) 639-3012

NPI assigned

Feb 2, 2008

Last updated

Jul 23, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Professional Speech & Language Services, PLLC

  • Speech-Language Pathologist
  • Lufkin, TX
  • NPI 1093993941
  Medicare reassignment NPD

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1649458597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 E DENMAN AVE STE 11",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016760",
            "telephone_number": "936-639-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR STE 208",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-639-3007",
            "fax_number": "936-639-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "DEBRA",
        "middle_name": "W",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Baker, PHARMD
• Savitha Balakrishna, MD
• Ghazi NA Balis Sr., APRN
• Rebecca Ball
• Ethel J Ballenger, DIETITIAN
• Jocelyn Soria Banuelos, FNP-C
• Juanita Marie Barnes
• Brandi Barnett, LPC
• Ryan Barr
• Emma Cherie Barrett, MS, RDN, LD, CDCES

• Speech-Language Pathologist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.