Deborah Wynne Medel, N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP593A Issued in ID

Practice address

213 N Main St
Moscow, ID 83843-2700

Phone

(208) 882-7565

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By 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

Other names 1

• Miss Deborah Wynne Copeland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Syringa General Hospital District C I F

  dba Syringa Primary Care Clinic

  • Primary Care Clinic/Center
  • Grangeville, ID
  • NPI 1073802492
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1255510442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432700",
            "telephone_number": "208-882-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432700",
            "telephone_number": "208-882-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEL",
        "first_name": "DEBORAH",
        "middle_name": "WYNNE",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP593A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "COPELAND",
            "middle_name": "WYNNE",
            "prefix": "MISS",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian William McNeill, PHD
• Mitchell McTier
• Ketha Mead
• Rechelle Ann Meade
• Rylee Jade Meagher
• Medicine Hands Therapeutic Bodywork, LLC
• Noelle Christina Mesa, LMSW
• Christine Meyer, M.S., LPC
• Sheridan Meyer
• Dylan Meyerson

• Family Nurse Practitioner in Moscow, ID
• Providers in Moscow, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.