Active NPI
Debra Michiko Hamamoto, MASTERS DEGREE
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1790298925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60736168
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL60736168 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Public Schools District 81 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1922331651
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.