Deborah Verbeek

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEBORAH VERBEEK

Doing business as

Ardmore Family Medical Clinic

Practice address

25495 Main St
Ardmore, TN 38449-3129

Phone

(931) 427-6969

Fax

(931) 427-6967

NPI assigned

Aug 30, 2006

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah R Verbeek, CFNPNPI 1194706937

Title

Owner

Phone

(931) 427-6969

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ARDMORE FAMILY MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Ruth Verbeek, CFNP, MSN

  • Nurse Practitioner
  • Ardmore, TN
  • NPI 1194706937
  Medicare reassignment NPD Authorized official
• Tiffany Forst, NP-C

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1356859391
  Medicare reassignment NPD
• Kathy Cohen, MSN,CFNP

  • Nurse Practitioner
  • Pulaski, TN
  • NPI 1063493815
  NPD (past)
• Kimberly M Young, FNP-BC

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1811068133
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1194835645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25495 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493129",
            "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": "384493129",
            "telephone_number": "931-427-6969",
            "fax_number": "931-427-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH VERBEEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "VERBEEK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-427-6969",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905610",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARDMORE FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diego Alejandro Cacho-Tovar, FNP-C
• Natalie Hargett Caracciolo
• Nicholas Christofidis, APRN, FNP-C
• Nathan Crawford, LPTA
• Holly R Davis, PTA
• Leilani Diaz
• Patricia Joan Donley, DPT
• Barbara Doorenbos
• Elk River Health & Nursing Center of Ardmore LLC
• Elkton Clinic PC

• Family Medicine Physician in Ardmore, TN
• Providers in Ardmore, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.