Individual provider Active NPI

Debra B Uribe, M.S.CCC/S.L.P

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1952555054
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006243-1 Issued in NY
Practice address
39 Westminster Rd
Great Neck
Great Neck, NY 11020-1270
Phone
(516) 884-2898
Fax
(516) 708-1613
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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 006243-1 NY Primary

Addresses

Primary practice location

39 Westminster Rd
Great Neck
Great Neck, NY 11020-1270

Mailing address

39 Westminster Rd
Great Neck
Great Neck, NY 11020-1270
Phone (516) 884-2898

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
006243-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1952555054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WESTMINSTER RD",
            "address_2": "GREAT NECK",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201270",
            "telephone_number": "516-884-2898",
            "fax_number": "516-708-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WESTMINSTER RD",
            "address_2": "GREAT NECK",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201270",
            "telephone_number": "516-884-2898",
            "fax_number": "516-708-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "DEBRA",
        "middle_name": "B",
        "credential": "M.S.CCC/S.L.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006243-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.