Individual provider Active NPI

Debra Lynn Fathe, CPRS

  • Peer Specialist
  • Coventry Township, OH
National Provider Identifier
1700679727
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
2243 Markey St
Coventry Township, OH 44319-1109
Phone
(330) 813-8633
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Peer Specialist 175T00000X OH Primary

Addresses

Primary practice location

2243 Markey St
Coventry Township, OH 44319-1109

Mailing address

2243 Markey St
Coventry Township, OH 44319-1109
Phone (330) 813-8633

Other names 1

  • Deb Fathe Other 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

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1700679727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 MARKEY ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191109",
            "telephone_number": "330-813-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MARKEY ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191109",
            "telephone_number": "330-813-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHE",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEB",
            "last_name": "FATHE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.