Active NPI
Debbera J Speeter, NP
- Obstetrics & Gynecology Nurse Practitioner
- Kalamazoo, MI
National Provider Identifier
1063482537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 4704119224
- Practice address
- 7110 Stadium Dr
Kalamazoo, MI 49009 - Phone
- (269) 488-8844
- Fax
- (269) 488-8845
- NPI assigned
- Jan 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704119224 | MI | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 4704119224 | MI | Primary |
Addresses
Primary practice location
7110 Stadium Dr
Kalamazoo, MI 49009
Mailing address
7110 Stadium Dr # 42
Kalamazoo, MI 49009-9423
Phone (269) 488-8844
Other practice location 1
3300 W Centre Ave
Bronson OB GYN Associates
Portage, MI 49024-4666
Phone (269) 327-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4500721 | Medicaid | MI | |
| (D) 4500712 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704119224 | MI | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Women'S Health, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Kalamazoo, MI
- NPI 1356369292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1063482537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 STADIUM DR # 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099423",
"telephone_number": "269-488-8844",
"fax_number": "269-488-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49009",
"telephone_number": "269-488-8844",
"fax_number": "269-488-8845"
}
],
"practiceLocations": [
{
"address_1": "3300 W Centre Ave",
"address_2": "Bronson OB GYN Associates",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490244666",
"country_code": "US",
"telephone_number": "269-327-2211",
"fax_number": "269-327-0273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEETER",
"first_name": "DEBBERA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704119224",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MI",
"license": "4704119224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4500721",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "(D) 4500712",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.