Active NPI
Deborah Anne Tenenbaum, NP
- Primary Care Nurse Practitioner
- Barre, VT
National Provider Identifier
1013526466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 101.0134888
- Practice address
- 98 Hospitality Dr
Barre, VT 05641-5360 - Phone
- (703) 863-5851
- NPI assigned
- Jul 30, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 101.0134888 | VT | Primary |
Addresses
Primary practice location
98 Hospitality Dr
Barre, VT 05641-5360
Mailing address
98 Hospitality Dr
Barre, VT 05641-5360
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1013526466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 HOSPITALITY DR",
"city": "BARRE",
"state": "VT",
"postal_code": "056415360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 HOSPITALITY DR",
"city": "BARRE",
"state": "VT",
"postal_code": "056415360",
"telephone_number": "703-863-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENENBAUM",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "VT",
"license": "101.0134888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.