Active NPI
Deborah D'Ann Wilbanks, RN
- Registered Nurse
- San Angelo, TX
National Provider Identifier
1174339378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 597498
- Practice address
- 120 E Harris Ave
San Angelo, TX 76903-5904 - Phone
- (325) 213-4089
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 597498 | TX | Primary |
Addresses
Primary practice location
120 E Harris Ave
San Angelo, TX 76903-5904
Mailing address
5470 John Curry Rd
Christoval, TX 76935-4326
Phone (830) 329-1988
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 |
|---|---|---|---|
| 597498 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1174339378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5470 JOHN CURRY RD",
"city": "CHRISTOVAL",
"state": "TX",
"postal_code": "769354326",
"telephone_number": "830-329-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E HARRIS AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035904",
"telephone_number": "325-213-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBANKS",
"first_name": "DEBORAH",
"middle_name": "D'ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "597498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.