Individual provider Active NPI

Deborah O Kranak, M.S., CCC

  • Speech-Language Pathologist
  • Panama City, FL
National Provider Identifier
1649550641
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA853 Issued in FL
Practice address
4900 Mittie LN
Panama City, FL 32404-4284
Phone
(850) 872-8459
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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 SA853 FL Primary

Addresses

Primary practice location

4900 Mittie LN
Panama City, FL 32404-4284

Mailing address

4900 Mittie LN
Panama City, FL 32404-4284
Phone (850) 872-8459

Other identifiers 1

IdentifierTypeStateIssuer
004040100MedicaidFL

Other names 1

  • Ms. Deborah L Oram Former 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 Science

State licenses

LicenseStateTypeSpecialty
SA853FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1649550641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MITTIE LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044284",
            "telephone_number": "850-872-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MITTIE LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044284",
            "telephone_number": "850-872-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANAK",
        "first_name": "DEBORAH",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ORAM",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.