Individual provider Active NPI

Deborah H Tuberville, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1033434840
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000014701 Issued in TN
Practice address
3055 Watson St
Memphis, TN 38118-3011
Phone
(901) 369-4900
Fax
(901) 365-3555
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000014701 TN Primary

Addresses

Primary practice location

3055 Watson St
Memphis, TN 38118-3011

Mailing address

3055 Watson St
Memphis, TN 38118-3011
Phone (901) 369-4900

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

State licenses

LicenseStateTypeSpecialty
14701TNMDCardiovascular Disease Physician
APN0000014701TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1033434840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WATSON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183011",
            "telephone_number": "901-369-4900",
            "fax_number": "901-365-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WATSON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183011",
            "telephone_number": "901-369-4900",
            "fax_number": "901-365-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBERVILLE",
        "first_name": "DEBORAH",
        "middle_name": "H",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.