Individual provider Active NPI

Debra Harms, MA, CCC, SLP

  • Speech-Language Pathologist
  • Citrus Heights, CA
National Provider Identifier
1710331871
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10725 Issued in CA
Practice address
8389 Canyon Oak Dr
Citrus Heights, CA 95610-0755
Phone
(916) 716-8918
Fax
(949) 215-4281
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 SP10725 CA Primary

Addresses

Primary practice location

8389 Canyon Oak Dr
Citrus Heights, CA 95610-0755

Mailing address

8389 Canyon Oak Dr
Citrus Heights, CA 95610-0755
Phone (916) 716-8918

Other identifiers 1

IdentifierTypeStateIssuer
SP10725OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160716000002 CA Practitioner - Qualified Speech Language Pathologist 9739471483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capuchino Therapy GroupGroup PAC ID 2860554839, 5 clinicians

Practice addresses (Care Compare)

3601 Marconi Ave
Sacramento, CA 95821-5309
Phone (916) 481-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP10725CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capuchino Therapy Group Speech-Language Pathologist CurrentSince Jun 22, 2016 Accepting new patients

Locations

9580 Oak Avenue Pkwy
Ste 7118
Folsom, CA 95630

3601 Marconi Ave
Sacramento, CA 95821
Phone (916) 481-1300

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1710331871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8389 CANYON OAK DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100755",
            "telephone_number": "916-716-8918",
            "fax_number": "949-215-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8389 CANYON OAK DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100755",
            "telephone_number": "916-716-8918",
            "fax_number": "949-215-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "DEBRA",
        "credential": "MA, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP10725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.