Individual provider Active NPI

Debora Ann Dabel, MS CCC- SLP

  • Speech-Language Pathologist
  • Antigo, WI
National Provider Identifier
1962676858
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
40-154 Issued in WI
Practice address
729 Park St
Antigo, WI 54409-2745
Phone
(715) 623-2356
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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 40-154 WI Primary

Addresses

Primary practice location

729 Park St
Antigo, WI 54409-2745

Mailing address

6581 Round Lake Rd
Rhinelander, WI 54501-8155
Phone (715) 282-5574

Other identifiers 2

IdentifierTypeStateIssuer
42698300MedicaidWI
40-154OtherWIWI STATE LICENSURE

Other names 1

  • Mrs. Deb Ann Dabel Other name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1962676858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6581 ROUND LAKE RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018155",
            "telephone_number": "715-282-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PARK ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092745",
            "telephone_number": "715-623-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABEL",
        "first_name": "DEBORA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "40-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42698300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI  STATE LICENSURE",
            "identifier": "40-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEB",
            "last_name": "DABEL",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MS CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

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

Verify at the official NPI Registry.