Individual provider Active NPI

Debreka Shenette Malone

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1306341250
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018002325 Issued in TX
Practice address
3375 Westpark Dr Ste C
Houston, TX 77005-4262
Phone
(281) 487-0402
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018002325 GA
Family Nurse Practitioner 363LF0000X 2018002325 TX Primary
Family Nurse Practitioner 363LF0000X 2018002325 LA

Addresses

Primary practice location

3375 Westpark Dr Ste C
Houston, TX 77005-4262

Mailing address

2310 Summer Wind Dr
Sugar Land, TX 77479-7021
Phone (281) 414-8776

Other practice location 1

2655 Cordes Dr Ste 120
Sugar Land, TX 77479-1461
Phone (832) 915-5544

Other identifiers 1

IdentifierTypeStateIssuer
2018002325MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241205002016 TX Practitioner - Nurse Practitioner 7012443781 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018002325GAMDFamily Nurse Practitioner
2018002325LAMDFamily Nurse Practitioner
2018002325TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Campo Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
El Campo Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
El Campo Memorial Hospital Current Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Fairmont Weight Loss Clinic LLC Past Accepting new patients
Recovery Care PLLC Past Accepting new patients

Locations

305 Sandy Corner Rd
El Campo, TX 77437
Phone 9795435510217

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1201 N Mechanic St
El Campo, TX 77437
Phone (979) 332-2230

1403 Valhalla Dr
Wharton, TX 77488
Phone (979) 532-2000

Organizations & group practices 6

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1306341250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SUMMER WIND DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797021",
            "telephone_number": "281-414-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 WESTPARK DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054262",
            "telephone_number": "281-487-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Cordes Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774791461",
            "country_code": "US",
            "telephone_number": "832-915-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "DEBREKA",
        "middle_name": "SHENETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2018002325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2018002325",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "2018002325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018002325",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.