Individual provider Active NPI

Debra K Macdonald, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1033101209
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006509 Issued in WA
Practice address
1360 N Louisiana St # A737
Kennewick, WA 99336-7171
Phone
(509) 628-1958
Fax
(509) 628-1959
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200550106NP OR
Family Nurse Practitioner 363LF0000X AP30006509 WA Primary

Addresses

Primary practice location

1360 N Louisiana St # A737
Kennewick, WA 99336-7171

Mailing address

1033 Country CT
Richland, WA 99352-9500
Phone (509) 628-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200550106NPORMDFamily Nurse Practitioner
AP30006509WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macdonald Health Care LLC Family CurrentSince Aug 11, 2005 Accepting new patients
Tri-City Eyes PastSince Oct 20, 2019 Accepting new patients

Locations

1360 N Louisiana St
#A737
Kennewick, WA 99336
Phone (509) 628-3840

2170 Keene Rd
Richland, WA 99352
Phone (509) 402-2399

1950 Keene Rd
Bldg J
Richland, WA 99352
Phone (509) 627-1088

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1033101209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 COUNTRY CT",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529500",
            "telephone_number": "509-628-1363",
            "fax_number": "509-628-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N LOUISIANA ST # A737",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367171",
            "telephone_number": "509-628-1958",
            "fax_number": "509-628-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550106NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.