Active NPI
Deborah V. Thomas, EDD, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Prospect, KY
National Provider Identifier
1326255969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3002453
- Practice address
- 9509 US Highway 42 Ste 108
Prospect, KY 40059-9291 - Phone
- (502) 709-4717
- Fax
- (502) 709-4727
- NPI assigned
- May 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3002453 | KY | Primary |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 3002453 | KY |
Addresses
Primary practice location
9509 US Highway 42 Ste 108
Prospect, KY 40059-9291
Mailing address
9509 US Highway 42 Ste 108
Prospect, KY 40059-9291
Phone (502) 709-4717
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002453 | KY | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park View Psychiatric Services, PSC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1487872636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1326255969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9509 US HIGHWAY 42 STE 108",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599291",
"telephone_number": "502-709-4717",
"fax_number": "502-709-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9509 US HIGHWAY 42 STE 108",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599291",
"telephone_number": "502-709-4717",
"fax_number": "502-709-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DEBORAH",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "EDD, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3002453",
"primary": true
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "KY",
"license": "3002453",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, KY
- Bailee Taylor
- Brigid Shea Taylor
- Tina Renee Tembeleska, M.S.,CCC-SLP
- Thames Healthcare Group, LLC (Rivers Edge Nursing and Rehabilitation Center)
- Thomas R. Vivian DMD PLLC
- Gregory Thomas, M.D.
- Janet Elizabeth Thorley, ARNP
- Thrive Care LLC
- Total Long-Term Care Solutions, PLLC
- Town Family Doctor, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.