Individual provider Active NPI

Deborah Verucchi, CNP

  • Women's Health Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1346318441
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
901468 Issued in MS
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

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
0000007251TNMDWomen'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.

Verify at the official NPI Registry.