Active NPI
Debra L Irvine, RN
- Community Health Registered Nurse
- Cumming, GA
National Provider Identifier
1093713786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN168765
- Practice address
- 260 Elm St
Cumming, GA 30040-2467 - Phone
- (770) 887-1668
- Fax
- (770) 781-9937
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN168765 | GA | Primary |
Addresses
Primary practice location
260 Elm St
Cumming, GA 30040-2467
Mailing address
PO Box 307
Cumming, GA 30028-0307
Phone (770) 887-1668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN168765 | Other | GA | GA REG NURSE LICENSE # |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN168765 | GA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1093713786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "CUMMING",
"state": "GA",
"postal_code": "300280307",
"telephone_number": "770-887-1668",
"fax_number": "770-781-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 ELM ST",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402467",
"telephone_number": "770-887-1668",
"fax_number": "770-781-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN168765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA REG NURSE LICENSE #",
"identifier": "RN168765",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.