Debra Rouse Haber, RN, MS, AGNP-C, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP4654 Issued in AZ

Practice address

755 S Grapevine Loop
Benson, AZ 85602-7430

Phone

(520) 490-1456

NPI assigned

Jul 15, 2012

Last updated

Jun 22, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD
• American Geriatric Enterprise, Inc.

  • Specialist
  • Hereford, AZ
  • NPI 1841397072
  NPD (past)

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1194070227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "520-224-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S GRAPEVINE LOOP",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856027430",
            "telephone_number": "520-490-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 N Wilmot Rd",
            "address_2": "Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857128000",
            "country_code": "US",
            "telephone_number": "520-318-1114",
            "fax_number": "520-318-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABER",
        "first_name": "DEBRA",
        "middle_name": "ROUSE",
        "credential": "RN, MS, AGNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729716",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Gray, M.D.
• Kim Anderson Greenwood, PNP, MS
• Grey Ventures, LLC (RevCycle One)
• Linda Groom, RN
• Mayra Guzman-Lopez, PHARMD
• Cassandra Clare Harrison, M.D.
• Barbara H Hartley, M.D.
• Healing Ways PLLC (San Pedro chiropractic)
• Healthcare Innovations Inc.
• Debra A Heaton, LISAC

• Gerontology Nurse Practitioner in Benson, AZ
• Providers in Benson, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.