Individual provider Active NPI

Deborah Lynn Dimond, ANP-BC

  • Adult Health Nurse Practitioner
  • Davison, MI
National Provider Identifier
1073745923
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704226244 Issued in MI
Practice address
9244 Lapeer Rd
Davison, MI 48423-1757
Phone
(810) 653-2111
Fax
(810) 653-8506
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704226244 MI Primary

Addresses

Primary practice location

9244 Lapeer Rd
Davison, MI 48423-1757

Mailing address

9244 Lapeer Rd
Davison, MI 48423-1757
Phone (810) 653-2111

Other names 1

  • Deborah Lynn Holden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001311 MI Practitioner - Nurse Practitioner 3274670674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704226244MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asif Ishaque MD PC CurrentSince Aug 10, 2009 Accepting new patients
Amanda Winston MD PLLC CurrentSince Sep 18, 2017 Accepting new patients

Locations

9244 Lapeer Rd
Davison, MI 48423
Phone (810) 653-2111

Interoperability endpoints

  • Direct secure messaging: ddimond1125288@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/24383/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACAHAD/Endpoint/ACAHAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1073745923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231757",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231757",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704226244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HOLDEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.