Active NPI
Deborah Katharine Prince, FNP
- Family Nurse Practitioner
- Del Valle, TX
National Provider Identifier
1033864665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1057694
- Practice address
- 3614 Bill Price Rd
Del Valle, TX 78617-3630 - Phone
- (512) 854-4193
- NPI assigned
- Feb 11, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1057694 | TX | Primary |
Addresses
Primary practice location
3614 Bill Price Rd
Del Valle, TX 78617-3630
Mailing address
1600 Wickersham LN Apt 1085
Austin, TX 78741-3132
Phone (512) 619-5228
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1057694 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1033864665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 WICKERSHAM LN APT 1085",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787413132",
"telephone_number": "512-619-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 BILL PRICE RD",
"city": "DEL VALLE",
"state": "TX",
"postal_code": "786173630",
"telephone_number": "512-854-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "DEBORAH",
"middle_name": "KATHARINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1057694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Valle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.