Individual provider Active NPI

Debra Michiko Hamamoto, MASTERS DEGREE

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1790298925
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60736168 Issued in WA
Practice address
500 W Longfellow Ave
Spokane, WA 99205-1103
Phone
(509) 354-4430
Fax
(509) 354-4474
NPI assigned
Nov 9, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 LL60736168 WA Primary

Addresses

Primary practice location

500 W Longfellow Ave
Spokane, WA 99205-1103

Mailing address

500 W Longfellow Ave
Spokane, WA 99205-1103
Phone (509) 354-4430

Other names 1

  • Debra Michiko Robinson 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

State licenses

LicenseStateTypeSpecialty
LL60736168WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Public Schools District 81 Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokaneschools/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1790298925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LONGFELLOW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051103",
            "telephone_number": "509-354-4430",
            "fax_number": "509-354-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LONGFELLOW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051103",
            "telephone_number": "509-354-4430",
            "fax_number": "509-354-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAMOTO",
        "first_name": "DEBRA",
        "middle_name": "MICHIKO",
        "name_prefix": "Mrs.",
        "credential": "MASTERS DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60736168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "ROBINSON",
            "middle_name": "MICHIKO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.