Individual provider Active NPI

Deborah Cofrancesco, CCC-SLP

  • Speech-Language Pathologist
  • Vicksburg, MS
National Provider Identifier
1841476504
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S2279 Issued in MS
Practice address
4315 Winchester Rd
Vicksburg, MS 39180-8969
Phone
(601) 634-0959
NPI assigned
Jan 12, 2008
Last updated
Jan 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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 S2279 MS Primary

Addresses

Primary practice location

4315 Winchester Rd
Vicksburg, MS 39180-8969

Mailing address

4315 Winchester Rd
Vicksburg, MS 39180-8969
Phone (601) 634-0959

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
S2279MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1841476504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 WINCHESTER RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391808969",
            "telephone_number": "601-634-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 WINCHESTER RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391808969",
            "telephone_number": "601-634-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFRANCESCO",
        "first_name": "DEBORAH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.