Individual provider Active NPI

Deborah Ann Edington, APRN FNP-C

  • Family Nurse Practitioner
  • Brenham, TX
National Provider Identifier
1124333299
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
800018 Issued in TX
Practice address
100 S Chappell Hill St Ste 106
Brenham, TX 77833-3942
Phone
(979) 836-6771
Fax
(979) 836-6794
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 800018 TX Primary
Family Nurse Practitioner 363LF0000X 67755 OK

Addresses

Primary practice location

100 S Chappell Hill St Ste 106
Brenham, TX 77833-3942

Mailing address

100 S Chappell Hill St Ste 106
Brenham, TX 77833-3942
Phone (979) 836-6771

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

State licenses

LicenseStateTypeSpecialty
800018TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1124333299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CHAPPELL HILL ST STE 106",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333942",
            "telephone_number": "979-836-6771",
            "fax_number": "979-836-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CHAPPELL HILL ST STE 106",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333942",
            "telephone_number": "979-836-6771",
            "fax_number": "979-836-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "800018",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "67755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.