Active NPI
Deborah K Rupae FNP, PLLC
- Family Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1013020429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005854
- Legal business name
- DEBORAH K RUPAE FNP, PLLC
- Practice address
- 1405 SE 164TH Ave
Suite 201
Vancouver, WA 98683-9644 - Phone
- (360) 891-0505
- Fax
- (360) 891-0730
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Rupae, FNP
- Title
- Member
- Phone
- (360) 891-0505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005854 | WA | Primary |
Addresses
Primary practice location
1405 SE 164TH Ave
Suite 201
Vancouver, WA 98683-9644
Mailing address
PO Box 23200
Portland, OR 97281-3200
Phone (360) 891-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9645714 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1405 SE 164th Ave
Ste 201
Vancouver, WA 98683
Phone (360) 256-1190
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1902867245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1013020429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972813200",
"telephone_number": "360-891-0505",
"fax_number": "360-891-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SE 164TH AVE",
"address_2": "SUITE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839644",
"telephone_number": "360-891-0505",
"fax_number": "360-891-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH K RUPAE FNP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "RUPAE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "360-891-0505",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9645714",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.