Deborah Ann Stamp, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

254595 Issued in TX

Practice address

4112 SW 50TH Ave
Amarillo, TX 79109-6128

Phone

(806) 352-9992

Fax

(806) 352-9998

NPI assigned

Jun 23, 2006

Reactivated

Dec 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1063448272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 SW 50TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096128",
            "telephone_number": "806-352-9992",
            "fax_number": "806-352-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SW 50TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096128",
            "telephone_number": "806-352-9992",
            "fax_number": "806-352-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMP",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-05-20",
        "deactivation_date": "2008-01-03",
        "reactivation_date": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "254595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015057",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015056",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175065501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "012105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas Pathapati, Mdpa
• Ssa Holdings LLC
• Ssa Holdings LLC
• James Harry Stafford, M.D.
• Irene Stalcup, LCSW
• Brenda Stamps, PT
• Vanessa Catherine Stamps, LMT
• Standing on Faith Shoe Company
• Rebecca Danielle Standley, LCSW, BCN
• Christopher Stanley, MS, ATC, LAT

• Home Health Registered Nurse in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.