Individual provider Active NPI

Deborah Fletcher Rainer, SLP

  • Speech-Language Pathologist
  • Lorena, TX
National Provider Identifier
1669983250
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11203 Issued in TX
Practice address
2683 Burl LN
Lorena, TX 76655-9401
Phone
(254) 717-0664
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 11203 TX Primary

Addresses

Primary practice location

2683 Burl LN
Lorena, TX 76655-9401

Mailing address

2683 Burl LN
Lorena, TX 76655-9401
Phone (254) 717-0664

Other practice location 1

900 Washington Ave Ste 602
Waco, TX 76701-1283
Phone (254) 717-0664

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

State licenses

LicenseStateTypeSpecialty
11203TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669983250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 BURL LN",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766559401",
            "telephone_number": "254-717-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 BURL LN",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766559401",
            "telephone_number": "254-717-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Washington Ave Ste 602",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767011283",
            "country_code": "US",
            "telephone_number": "254-717-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINER",
        "first_name": "DEBORAH",
        "middle_name": "FLETCHER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.