Debra Ann Smith, RNC, MS, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

702681 Issued in TX

Practice address

49TH Medical Group/Sgomw
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273

Phone

(575) 572-5874

Fax

(575) 572-2259

NPI assigned

Mar 2, 2006

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1275500878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49TH MEDICAL GROUP/SGOMW",
            "address_2": "280 FIRST STREET, BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-5874",
            "fax_number": "575-572-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49TH MEDICAL GROUP/SGOMW",
            "address_2": "280 FIRST STREET, BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-5874",
            "fax_number": "575-572-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RNC, MS, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "702681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Shabany, D.D.S.
• Kaitlyn M Shaughnessy, DPT
• Jessica Nicole Simmons, PHARMD
• John Francis Skicki, PSY.D.
• Andrew Smietana, DPT
• Ericka Renee Smith, DA 3160
• Ryan Lloyd Smith, PHYSICAL THERAPIST
• Zachary James Smith, PHARM D
• Sayyid Stanford, LCSW
• Jeremy T Strong, DMD

• Women's Health Nurse Practitioner in Holloman Afb, NM
• Providers in Holloman Afb, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.