Active NPI
Debra Lee McPherson, CCC-SLP
- Speech-Language Pathologist
- Indian Harbour Beach, FL
National Provider Identifier
1962627018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA3900
- Practice address
- 2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566 - Phone
- (321) 773-8989
- Fax
- (321) 773-8990
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SA3900 | FL | Primary |
Addresses
Primary practice location
2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566
Mailing address
420 Sheridan Ave
Satellite Beach, FL 32937-3048
Phone (321) 773-4471
Other practice location 1
240 N Wickham Rd
Suite 207
Melbourne, FL 32935-8662
Phone (321) 752-1500 ext. 1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 883361300 | Medicaid | FL |
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 |
|---|---|---|---|
| SA3900 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1962627018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SHERIDAN AVE",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373048",
"telephone_number": "321-773-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 HIGHWAY A1A STE 203",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329373566",
"telephone_number": "321-773-8989",
"fax_number": "321-773-8990"
}
],
"practiceLocations": [
{
"address_1": "240 N Wickham Rd",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329358662",
"country_code": "US",
"telephone_number": "321-752-1500 x1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHERSON",
"first_name": "DEBRA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA3900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "883361300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.