Active NPI
Debra C Vigil, PHD
- Speech-Language Pathologist
- Reno, NV
National Provider Identifier
1720062094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP665
- Practice address
- 1664 N Virginia St
Mail Stop 152 Redfield Medical Building
Reno, NV 89557-0152 - Phone
- (775) 784-4887
- Fax
- (775) 784-4095
- NPI assigned
- Dec 1, 2005
- Last updated
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP665 | NV | Primary |
Addresses
Primary practice location
1664 N Virginia St
Mail Stop 152 Redfield Medical Building
Reno, NV 89557-0152
Mailing address
1664 N Virginia St
Mail Stop 152 Redfield Medical Building
Reno, NV 89557-0152
Phone (775) 784-4887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507278 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP665 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents Nevada System of Higher Education | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UNR Speech & Hearing
- Speech-Language Pathologist
- Reno, NV
- NPI 1881678977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1720062094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 N VIRGINIA ST",
"address_2": "MAIL STOP 152 REDFIELD MEDICAL BUILDING",
"city": "RENO",
"state": "NV",
"postal_code": "895570152",
"telephone_number": "775-784-4887",
"fax_number": "775-784-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 N VIRGINIA ST",
"address_2": "MAIL STOP 152 REDFIELD MEDICAL BUILDING",
"city": "RENO",
"state": "NV",
"postal_code": "895570152",
"telephone_number": "775-784-4887",
"fax_number": "775-784-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "DEBRA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507278",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.