Deborah C Sitton, ANP
Individual provider Active NPI Nurse Practitioner · Mineola, TX
NPI 1114992575 · NPPES record last updated Dec 28, 2015
Key facts
- NPI
- 1114992575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 541929 (TX)
- Practice address
- 1302 N Pacific St
Mineola, TX 75773-1022 - Phone
- (903) 569-5383
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 541929 | TX | Yes |
Addresses
Primary practice location
1302 N Pacific St
Mineola, TX 75773-1022
Mailing address
PO Box 840698
Dallas, TX 75284-6098
Phone (903) 324-6450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202067902 | Medicaid | TX | |
| 202067901 | Medicaid | TX | |
| 81N802 | Other | TX | BCBS |
| TIN PLUS 043 | Other | TX | TRICARE |
Other providers in Mineola, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.