Deborah Mauri Van Der Watt, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007298 Issued in PA

Practice address

Walter Reed Army Medical Ctr
6900 Georgia Avenue NW
Washington, DC 20307-0001

Phone

(202) 782-1181

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chandler & Thakur Medical Group

  dba The Chandler & Thakur Medical Group

  • Specialist
  • Upper Darby, PA
  • NPI 1407018229
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184725301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143935",
            "telephone_number": "301-564-0469",
            "fax_number": "610-661-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CTR",
            "address_2": "6900 GEORGIA AVENUE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER WATT",
        "first_name": "DEBORAH",
        "middle_name": "MAURI",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Daly Van Dam, L.I.C.S.W.
• Johannes N Van Den Anker, MD
• Tim Van Den Broek, LPC
• Meggin Petronis Van Der Hilst, AU.D.
• Candace Marie Van Der Stelt, CCC-SLP
• Olesya Van Dijck, MA, LGPC, ATR-P
• Meghan Michelle Van Dongen
• Kendra Joy Van Hook
• Corey Elizabeth Van Hove, M.D.
• Janine Van Lancker, M.D.

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.