Nicole Alexcine Deboer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

913 S. Main St.
United Medical Centers
Del Rio, TX 78840

Phone

(830) 774-4363

Fax

(830) 775-7325

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1194011072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S. MAIN STREET",
            "address_2": "UNITED MEDICAL CENTERS",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-774-5534",
            "fax_number": "830-775-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S. MAIN ST.",
            "address_2": "UNITED MEDICAL CENTERS",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-774-4363",
            "fax_number": "830-775-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "NICOLE",
        "middle_name": "ALEXCINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isela Darden, FNP-BC
• Nicholas M Daufen, RPH
• Kayla Kothmann Davis
• Mustafa Dawood, MD
• Danny Salvador De Hoyos, FNP-C
• Del Rio Ambulance LLC
• Del Rio Chiropractic PLLC
• Del Rio Grande Home Healthcare LLC
• Del Rio Home Oxygen LLC
• Del Rio I Enterprises, LLC

• Physician Assistant in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.