Individual provider Active NPI

Deborah Cepeda Mabulac, N.P.

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1285895672
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
504807 Issued in TX
Practice address
5501 S McColl Rd
Edinburg, TX 78539-9152
Phone
(956) 971-5525
Fax
(956) 971-5527
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 504807 TX Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539-9152

Mailing address

5501 S McColl Rd
Edinburg, TX 78539-9152
Phone (956) 971-5527

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1285895672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399152",
            "telephone_number": "956-971-5527",
            "fax_number": "956-971-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399152",
            "telephone_number": "956-971-5525",
            "fax_number": "956-971-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABULAC",
        "first_name": "DEBORAH",
        "middle_name": "CEPEDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "504807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.