Individual provider Active NPI

Deborah Yisa

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1033604111
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137145 Issued in TX
Practice address
6237 Highway 6 S Ste C
Houston, TX 77083-1681
Phone
(832) 400-2048
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP137145 TX
Family Nurse Practitioner 363LF0000X AP137145 TX Primary

Addresses

Primary practice location

6237 Highway 6 S Ste C
Houston, TX 77083-1681

Mailing address

6237 Highway 6 S Ste C
Houston, TX 77083-1681
Phone (346) 220-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113001602 TX Practitioner - Nurse Practitioner 7719390640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6237 Hwy 6 S
Suite C
Houston, TX 77083-1681
Phone (832) 400-2048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137145TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Med Cure Clinic LLC CurrentSince Oct 10, 2020 Accepting new patients
Olive Angel Care Services LLC Current Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Med Mental Health LLC Psychiatric/Mental Health CurrentSince Sep 30, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

507 N Sam Houston Pkwy E
Ste 420
Houston, TX 77060
Phone (832) 717-2780

6237 Highway 6 S
Ste C
Houston, TX 77083
Phone (832) 400-2048

12703 Alief Clodine Rd
Ste 103
Houston, TX 77082
Phone (281) 902-2296

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1033604111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 HIGHWAY 6 S STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831681",
            "telephone_number": "346-220-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 HIGHWAY 6 S STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831681",
            "telephone_number": "832-400-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YISA",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP137145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.