Active NPI
Deborah Prekker Jones, FNP-C
- Family Nurse Practitioner
- Salem, OR
National Provider Identifier
1063763472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201600200NP-PP
- Practice address
- 1793 13TH St SE
Salem, OR 97302-2541 - Phone
- (503) 362-8385
- Fax
- (503) 362-8435
- NPI assigned
- Sep 25, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60313249 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201600200NP-PP | OR | Primary |
Addresses
Primary practice location
1793 13TH St SE
Salem, OR 97302-2541
Mailing address
1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385
Other names 1
- Miss Deborah Kay Prekker
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201600200NP-PP | OR | MD | Family Nurse Practitioner |
| AP60313249 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1063763472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEBORAH",
"middle_name": "PREKKER",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60313249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201600200NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "PREKKER",
"middle_name": "KAY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.