Individual provider Active NPI

Deborah Anne Delk, APRN-C

  • Women's Health Nurse Practitioner
  • Ft. Rucker, AL
National Provider Identifier
1184605701
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN2512582 Issued in FL
Practice address
301 Andrews Ave
Ft. Rucker, AL 36362-5333
Phone
(800) 261-7193
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN2512582 FL Primary

Addresses

Primary practice location

301 Andrews Ave
Ft. Rucker, AL 36362-5333

Mailing address

301 Andrews Ave
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Phone (334) 255-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20141209002269 AL Order and Referring Only - Nurse Practitioner 3779805312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN2512582FLMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1184605701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "800-261-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN2512582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Rucker, AL

Sources for this page

Verify at the official NPI Registry.