Individual provider Active NPI

Debra Sue Herrera, N.P.

  • Nurse Practitioner
  • Oxnard, CA
National Provider Identifier
1154470094
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16873 Issued in CA
Practice address
1901 Outlet Center Dr
Suite 220
Oxnard, CA 93036-0663
Phone
(805) 388-8830
Fax
(805) 388-8030
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16873 CA Primary

Addresses

Primary practice location

1901 Outlet Center Dr
Suite 220
Oxnard, CA 93036-0663

Mailing address

PO Box 201
Camarillo, CA 93011-0201
Phone (805) 388-8330

Other identifiers 2

IdentifierTypeStateIssuer
556393OtherCAREGISTERED NURSE
2667OtherCACLINICAL NURSE SPECIALIST

Other names 1

  • Miss Debra Sue Silva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000753 CA Practitioner - Nurse Practitioner 1951409325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Mer Psychiatric Medical Group, Inc.Group PAC ID 4981504818, 2 clinicians

Practice addresses (Care Compare)

1901 Outlet Ctr Dr
Suite 220
Oxnard, CA 93036-0665
Phone (805) 388-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16873CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Mer Psychiatric Medical Group, Inc. CurrentSince Feb 2, 2007 Accepting new patients

Locations

1901 Outlet Center Dr
Ste 220
Oxnard, CA 93036
Phone (805) 388-8330

Interoperability endpoints

  • Direct secure messaging: debra.herrera@lamer.officeally.direct

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1154470094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930110201",
            "telephone_number": "805-388-8330",
            "fax_number": "805-388-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR",
            "address_2": "SUITE 220",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360663",
            "telephone_number": "805-388-8830",
            "fax_number": "805-388-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "16873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "556393",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL NURSE SPECIALIST",
            "identifier": "2667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SILVA",
            "middle_name": "SUE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.