Debra Young Dunham

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1202 SW a Ave
Lawton, OK 73501-3821

Phone

(580) 357-6889

NPI assigned

Aug 2, 2020

Last updated

Aug 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Roadback Incorporated

  • Substance Abuse Rehabilitation Facility
  • Lawton, OK
  • NPI 1467470310
  NPD (past)

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1205446531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 NW SHERIDAN RD # 172",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055212",
            "telephone_number": "405-246-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-357-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 SW A Ave",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735013821",
            "country_code": "US",
            "telephone_number": "580-357-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "DEBRA",
        "middle_name": "YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Duncan
• Johnny D Duncan, DO
• Lisa Duncan
• Mark O Duncan, DO
• Tobi Duncan
• Deborah Dunkle, MA
• Walter Ray Dunlap, O.D.
• Dunlaw Optical Laboratories, Inc.
• Phoebe Dunn
• Vance H. Durham, LMFT

• Peer Specialist in Lawton, OK
• Providers in Lawton, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.