Deborah C. Gootee CRNP-PMH, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R053273 Issued in MD

Legal business name

DEBORAH C. GOOTEE CRNP-PMH, LLC

Practice address

103 East Chestnut Street
Saint Michaels, MD 21663

Phone

(410) 745-5595

Fax

(410) 745-5855

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 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 C Gootee, CRNP-PMH

Title

Sole Member

Phone

(410) 745-5595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1215246707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "SAINT MICHAELS",
            "state": "MD",
            "postal_code": "216631264",
            "telephone_number": "410-745-5595",
            "fax_number": "410-745-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EAST CHESTNUT STREET",
            "city": "SAINT MICHAELS",
            "state": "MD",
            "postal_code": "21663",
            "telephone_number": "410-745-5595",
            "fax_number": "410-745-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH C. GOOTEE CRNP-PMH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "GOOTEE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "410-745-5595",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R053273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choptank Community Health System Inc (St Michaels Elementary School SBDP)
• Choptank Community Health System Inc (Bay Hundred Health Center)
• Choptank Community Health System, Inc. (St. Michael's Elementary School SBHC)
• Choptank Community Health System, Inc. (St. Michael's Middle/High School SBHC)
• Kelly M Cooper
• Deck LLC (Medicine Shoppe Pharmacy)
• Gregory Dukes, CRNP
• Carrie Jean Ettinger, CNS
• Stephanie Rejeana Faulkner
• Stacy Ann Fox, PT

• Psychiatric/Mental Health Nurse Practitioner in St. Michael's, MD
• Providers in St. Michael's, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.