Active NPI
Debra Harrison, C.P.N.P.
- Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1053530212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R078461
- Practice address
- 100 E Carroll St
Pediatric Specialty Services
Salisbury, MD 21801-5422 - Phone
- (410) 543-7729
- Fax
- (410) 543-7586
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R078461 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Pediatric Specialty Services
Salisbury, MD 21801-5422
Mailing address
3286 Redden Ferry Rd
Eden, MD 21822-2229
Phone (410) 677-0666
Other names 1
- Mrs. Debra Tilghman
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R078461 | MD | MD | Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIEJAA/Endpoint/FIEJAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1053530212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3286 REDDEN FERRY RD",
"city": "EDEN",
"state": "MD",
"postal_code": "218222229",
"telephone_number": "410-677-0666",
"fax_number": "410-677-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"address_2": "PEDIATRIC SPECIALTY SERVICES",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7729",
"fax_number": "410-543-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R078461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "TILGHMAN",
"prefix": "MRS.",
"credential": "CPNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.