Active NPI
Deborah Verucchi, CNP
- Women's Health Nurse Practitioner
- Southaven, MS
National Provider Identifier
1346318441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 901468
- Practice address
- 5740 Getwell Rd Ste B
Southaven, MS 38672 - Phone
- (662) 470-6845
- Fax
- (662) 874-5190
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0000007251 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | 901468 | MS | Primary |
Addresses
Primary practice location
5740 Getwell Rd Ste B
Southaven, MS 38672
Mailing address
5740 Getwell Rd BLDG 1
Southaven, MS 38672-6346
Phone (662) 470-6845
Other practice location 1
401 Southcrest Cir Ste 104
Southaven, MS 38671-6712
Phone (662) 349-1112
Other names 1
- Deborah Parker
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000007251 | TN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1346318441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 GETWELL RD BLDG 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726346",
"telephone_number": "662-470-6845",
"fax_number": "662-874-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 GETWELL RD STE B",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "38672",
"telephone_number": "662-470-6845",
"fax_number": "662-874-5190"
}
],
"practiceLocations": [
{
"address_1": "401 Southcrest Cir Ste 104",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386716712",
"country_code": "US",
"telephone_number": "662-349-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERUCCHI",
"first_name": "DEBORAH",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "0000007251",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MS",
"license": "901468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "PARKER",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.