Active NPI
Deborah D. Statler, RN, APN
- Registered Nurse
- Milford, DE
National Provider Identifier
1114124393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- L1-0022988
- Practice address
- Child Development Watch
18 N. Walnut St.
Milford, DE 19963 - Phone
- (302) 424-7300
- Fax
- (302) 422-1363
- NPI assigned
- Jun 29, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0022988 | DE | Primary |
| Clinical Nurse Specialist | 364S00000X | L1-0000112 | DE |
Addresses
Primary practice location
Child Development Watch
18 N. Walnut St.
Milford, DE 19963
Mailing address
123 Blue Beach Rd
Dover, DE 19904-4823
Phone (302) 678-2662
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 |
|---|---|---|---|
| L1-0022988 | DE | MD | Registered Nurse |
| L1-0000112 | DE | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1114124393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BLUE BEACH RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199044823",
"telephone_number": "302-678-2662",
"fax_number": "302-678-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILD DEVELOPMENT WATCH",
"address_2": "18 N. WALNUT ST.",
"city": "MILFORD",
"state": "DE",
"postal_code": "19963",
"telephone_number": "302-424-7300",
"fax_number": "302-422-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATLER",
"first_name": "DEBORAH",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "RN, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0022988",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "DE",
"license": "L1-0000112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.