Punam Desormes, CCC-SLP, ATP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8228 Issued in FL

Practice address

3280 Progress Dr Ste 500
Orlando, FL 32826-2903

Phone

(407) 882-0468

Fax

(407) 882-0483

NPI assigned

Sep 5, 2006

Last updated

Jan 5, 2021By the provider in NPPES

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 identifiers 3

Other names 1

• Mrs. Punam Engineer Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The University of Central Florida Board of TrusteesGroup PAC ID 9739181470, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The University of Central Florida Board of Trustees

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1568497527
  Medicare reassignment Care Compare group NPD
• The University of Central Florida Board of Trustees

  • Neurology Physician
  • Orlando, FL
  • NPI 1609575786
  NPD
• Communication Disorders Clinic

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1992750301
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1942303284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 BRASSIE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043008",
            "telephone_number": "407-341-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PROGRESS DR STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262903",
            "telephone_number": "407-882-0468",
            "fax_number": "407-882-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESORMES",
        "first_name": "PUNAM",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891091000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "SA 8228",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTHCARE ID",
            "identifier": "13425701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PUNAM",
            "last_name": "ENGINEER",
            "prefix": "MRS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desired Chiropractic Care
• Susan E. Desjardins, MD
• Jessica Renee Deslauriers, MD
• Gloriann J Desliens, LCSW, LICSW
• Lisa Desmarais
• Rachel Marie Desravines, M.D.
• Smith Mithou Desravines
• Myrtha V Desronvil
• Paul Michael Desrosiers, MD.
• Tamara Sara Desruisseaux

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, 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 Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.