Individual provider Active NPI

Debra V Quayle, MFT

  • Marriage & Family Therapist
  • Durango, CO
National Provider Identifier
1013059617
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1017 Issued in CO
Practice address
755 E 2ND Ave
Suite 2D
Durango, CO 81301-5498
Phone
(970) 570-7309
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1017 CO Primary
Marriage & Family Therapist 106H00000X T1562 OR

Addresses

Primary practice location

755 E 2ND Ave
Suite 2D
Durango, CO 81301-5498

Mailing address

272 NW Medical Loop Ste E
Roseburg, OR 97471-5545
Phone (541) 900-4285

Other practice location 1

272 NW Medical Loop Ste E
Roseburg, OR 97471-5545
Phone (541) 900-4285

Other identifiers 1

IdentifierTypeStateIssuer
T1562OtherORSTATE LICENSES MARRIAGE AND FAMILY THERAPIST

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
T1562ORMDMarriage & Family Therapist
1017COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1013059617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 NW MEDICAL LOOP STE E",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715545",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 2ND AVE",
            "address_2": "SUITE 2D",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015498",
            "telephone_number": "970-570-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 NW Medical Loop Ste E",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974715545",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAYLE",
        "first_name": "DEBRA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1017",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSES MARRIAGE AND FAMILY THERAPIST",
            "identifier": "T1562",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.