Individual provider Active NPI

Deborah Anne Patterson, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1649954074
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2023-0138 Issued in NM
Practice address
4520 Montgomery Blvd NE Ste 3
Albuquerque, NM 87109-1291
Phone
(505) 883-3787
Fax
(505) 830-0106
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP-2023-0138 NM Primary

Addresses

Primary practice location

4520 Montgomery Blvd NE Ste 3
Albuquerque, NM 87109-1291

Mailing address

1143 Marigold Dr NE
Albuquerque, NM 87122-1112
Phone (808) 772-1913

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
SLP-2023-0138NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartward Speech-Language Pathology, Inc. Single Specialty CurrentSince Jun 18, 2023 Accepting new patients

Locations

4115 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 881-0092

4520 Montgomery Blvd NE
Ste 3
Albuquerque, NM 87109
Phone (505) 883-3787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1649954074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 MARIGOLD DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221112",
            "telephone_number": "808-772-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 MONTGOMERY BLVD NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091291",
            "telephone_number": "505-883-3787",
            "fax_number": "505-830-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP-2023-0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.