Individual provider Active NPI

Deborah Ruth Verbeek, CFNP, MSN

  • Nurse Practitioner
  • Ardmore, TN
National Provider Identifier
1194706937
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN0000095893 Issued in TN
Practice address
25495 Main St
Ardmore, TN 38449-3155
Phone
(931) 427-6969
Fax
(931) 427-6967
NPI assigned
Nov 9, 2005
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000095893 TN Primary

Addresses

Primary practice location

25495 Main St
Ardmore, TN 38449-3155

Mailing address

25495 Main St
PO Box 746
Ardmore, TN 38449-3155
Phone (931) 427-6969

Other identifiers 3

IdentifierTypeStateIssuer
06702OtherALBCBS OF AL
3094697MedicaidTN
891001650MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090814000465 TN Practitioner - Nurse Practitioner 7911939640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25495 Main St
Ardmore, TN 38449-2912
Phone (931) 427-6969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000095893TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Verbeek CurrentSince Mar 1, 1998 Accepting new patients

Locations

25495 Main St
Ardmore, TN 38449
Phone (931) 427-6969

26439 Main St
Ardmore, TN 38449
Phone (931) 427-6969

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1194706937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25495 MAIN ST",
            "address_2": "PO BOX 746",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493155",
            "telephone_number": "931-427-6969",
            "fax_number": "931-427-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493155",
            "telephone_number": "931-427-6969",
            "fax_number": "931-427-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBEEK",
        "first_name": "DEBORAH",
        "middle_name": "RUTH",
        "credential": "CFNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000095893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "06702",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094697",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891001650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, TN

Sources for this page

Verify at the official NPI Registry.