Debra Lynn Edgar, ED.D. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5133 Issued in FL

Practice address

12424 Research Pkwy
Suite 155
Orlando, FL 32826-3249

Phone

(407) 249-4770

Fax

(407) 249-4774

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 FITZOOTH DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924817",
            "telephone_number": "407-249-4770",
            "fax_number": "407-249-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 RESEARCH PKWY",
            "address_2": "SUITE 155",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263249",
            "telephone_number": "407-249-4770",
            "fax_number": "407-249-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ED.D. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Manor
• Eden Medical Clinic
• Abigail Edery, PA
• Edgar a Martorell MD LLC
• Cory Mical Edgar, PA-C
• Crystal Edge Johnson
• Rebeka Pena Edge, BCBA
• Rut Serra Edge
• Tajai Edge
• Lewis James Edgemon, M.D.

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.