Deborah King

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4000 Issued in FL

Practice address

2565 Judge Fran Jamieson Way
Viera, FL 32940-5998

Phone

(321) 634-3688

Fax

(321) 504-0955

NPI assigned

Feb 22, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deborah Watkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1912408394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ORA DELL AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962230",
            "telephone_number": "321-212-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 JUDGE FRAN JAMIESON WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329405998",
            "telephone_number": "321-634-3688",
            "fax_number": "321-504-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WATKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Izabela Nicole Kalaee, PHARM. D
• Mohssen Kalaee, PHARMACIST
• David Kegley
• Laene M Keith
• Kellie Garza LLC
• Patricia Princess King, M.D
• Maranda Koehn
• Kathleen Kopay-Guevara, AU. D.
• Samantha Kraus, LCSW
• Ruth Kuipers

• Speech-Language Pathologist in Viera, FL
• Providers in Viera, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.