Active NPI
Debra Allred, NP
- Nurse Practitioner
- Twin Falls, ID
National Provider Identifier
1285691865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-293
- Practice address
- 388 Martin St
Twin Falls, ID 83301-4544 - Phone
- (208) 734-0451
- Fax
- (208) 734-0452
- NPI assigned
- Apr 27, 2006
- Last updated
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-293 | ID | Primary |
Addresses
Primary practice location
388 Martin St
Twin Falls, ID 83301-4544
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 734-0451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-293 | ID | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1285691865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016856",
"telephone_number": "208-734-0451",
"fax_number": "208-734-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 MARTIN ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014544",
"telephone_number": "208-734-0451",
"fax_number": "208-734-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "DEBRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP-293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
- Sheryce Marie Allendorf, LCSW
- Alliance Family Services, Inc.
- Alliance Home Health of Idaho, LLC (Alliance Hospice)
- Allied Portable X-Ray Inc
- Allied Portable Xray Inc
- Tavia Jade Allred
- Kimberlee Anne Almon, M.S., CFY-SLP
- Katherine Jean Alper, MS, RDN, LD
- Doaa Alzahraa Alsoudani, PHARM D.
- Altis Counseling Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.