Active NPI
Debra A Crusan, ST
- Speech-Language Pathologist
- Spring Hill, FL
National Provider Identifier
1851577142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 3211
- Practice address
- 4422 Commercial Way
Spring Hill, FL 34606-1966 - Phone
- (352) 592-7647
- NPI assigned
- Jan 16, 2008
- 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 | SA 3211 | FL | Primary |
Addresses
Primary practice location
4422 Commercial Way
Spring Hill, FL 34606-1966
Mailing address
4422 Commercial Way
Spring Hill, FL 34606-1966
Phone (352) 592-7647
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 |
|---|---|---|---|
| SA 3211 | FL | MD | Speech-Language Pathologist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1851577142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 COMMERCIAL WAY",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346061966",
"telephone_number": "352-592-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 COMMERCIAL WAY",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346061966",
"telephone_number": "352-592-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSAN",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "ST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 3211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.