Organization Active NPI

Deborah K Rupae FNP, PLLC

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1013020429
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005854 Issued in WA
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

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Rupae, FNPNPI 1902867245
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9645714MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.