Active NPI
Deborah L Krauser, ARNP
- Adult Health Nurse Practitioner
- Grapevine, TX
National Provider Identifier
1114985215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 753879
- Practice address
- 3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757 - Phone
- (817) 310-3070
- Fax
- (817) 310-0023
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 753879 | TX | Primary |
| Nurse Practitioner | 363L00000X | ARNP2578982 | FL |
Addresses
Primary practice location
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Mailing address
3801 William D Tate Ave Ste 850
Grapevine, TX 76051-8757
Phone (817) 310-3070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204621101 | Medicaid | TX | |
| 304349500 | Medicaid | FL | |
| 204621103 | Medicaid | TX | |
| 204621102 | Medicaid | TX |
Other names 1
- Deborah L Sacks
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Nurse Practitioner | 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1114985215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070",
"fax_number": "817-310-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WILLIAM D TATE AVE STE 850",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518757",
"telephone_number": "817-310-3070",
"fax_number": "817-310-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSER",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "753879",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2578982",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204621101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304349500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204621103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204621102",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "SACKS",
"middle_name": "L",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.