Individual provider Active NPI

Deborah Irene Portela, APRN

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1255808770
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25139 Issued in TN
Practice address
1718 Patterson St
Nashville, TN 37203-2926
Phone
(615) 642-9490
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25139 TN Primary

Addresses

Primary practice location

1718 Patterson St
Nashville, TN 37203-2926

Mailing address

540 Parkvue Village Way
Clarksville, TN 37043-5583
Phone (931) 908-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219003178 TN Practitioner - Nurse Practitioner 5496093387 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Hospice, Inc. Nurse Practitioner CurrentSince Dec 8, 2018 Accepting new patients
Alive Hospice, Inc Current Accepting new patients
Tennessee Oncology PLLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

776 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 906-2004

1718 Patterson St
Nashville, TN 37203
Phone (615) 327-1085

1710 Patterson St
Nashville, TN 37203
Phone (615) 327-1085

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1255808770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARKVUE VILLAGE WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435583",
            "telephone_number": "931-908-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-642-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELA",
        "first_name": "DEBORAH",
        "middle_name": "IRENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.