Deborah L. Nilson, DO PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4373 Issued in OK

Legal business name

DEBORAH L. NILSON, DO PC

Practice address

3855 S Boulevard St
Suite 400
Edmond, OK 73013-5498

Phone

(405) 285-9789

Fax

(405) 285-9712

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Deborah Lynn Nilson, D.O.

Title

Owner

Phone

(405) 775-9350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1184952798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108835",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018835",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 S BOULEVARD ST",
            "address_2": "SUITE 400",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135498",
            "telephone_number": "405-285-9789",
            "fax_number": "405-285-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L. NILSON, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "NILSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-775-9350",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Dean, LMFT
• Mary Catherine Dean, OTR/L
• Stacey Nicole Dean, LPC
• Tina Sabrina Deaton, MS, CCC-SLP
• Deborah K Hartley PHD PC
• Deborah Randolph, LCSW, PC
• Anne Decker, R.P.T.
• Michael D. Decker, D.PH.
• Theresa Ann Decker
• Angela Dedmon, PH.D.

• Neurology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.