Active NPI
Deborah Cepeda Mabulac, N.P.
- Nurse Practitioner
- Edinburg, TX
National Provider Identifier
1285895672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 504807
- 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
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 | 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.