Deborah Susan Tate, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

76800 Issued in WV

Practice address

4347 Lake Front Blvd
Myrtle Beach, SC 29588-9666

Phone

(681) 753-8815

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1205486164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 LAKE FRONT BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295889666",
            "telephone_number": "681-753-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 LAKE FRONT BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295889666",
            "telephone_number": "681-753-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "76800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tap in Counseling
• Lisa S Tarbert-Smaldone, M.D.
• Charles E. Tarbert, M.D.
• Kristin Courtney Taska, PT
• Daniel Tate, DO
• Miranda Reed Tate
• Ainsley Smith Tayloe, MS CCC-SLP
• Anthoni J Taylor
• David Edward Taylor, MAC. M.PAC, ADC-IP
• Kelly Taylor

• Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.