Individual provider Active NPI

Deborah Densua Larbie, FNP

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1356717235
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128811 Issued in TX
Practice address
3334 Broadway Blvd Ste 422
Garland, TX 75043-1575
Phone
(972) 979-7408
Fax
(972) 587-6733
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128811 TX Primary

Addresses

Primary practice location

3334 Broadway Blvd Ste 422
Garland, TX 75043-1575

Mailing address

3129 Interstate 30 Ste H
Mesquite, TX 75150-2788
Phone (972) 979-7408

Other identifiers 1

IdentifierTypeStateIssuer
AP128811OtherTXAPRN LICENSE NO

Other names 1

  • Miss Deborah Densua Dodoo Former name

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
I20150915000098 TX Practitioner - Nurse Practitioner 1355364902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Visiting Clinicians PLLCGroup PAC ID 2668785791, 4 clinicians

Practice addresses (Care Compare)

3334 Broadway Blvd
Suite 422
Garland, TX 75043-1575
Phone (972) 979-7408

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kusi Fordjour M.D PA CurrentSince Jul 4, 2017 Accepting new patients
Primary Visiting Clinicians PLLC Family CurrentSince Aug 17, 2015 Accepting new patients
Leone Homehealth Care Agency Inc. Past Accepting new patients

Locations

2505 Bolton Boone Dr
Ste 101
Desoto, TX 75115
Phone (972) 283-9100

3334 Broadway Blvd
Ste 422
Garland, TX 75043
Phone (972) 271-1156

3129 Interstate 30
Ste H
Mesquite, TX 75150
Phone (214) 227-2510

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11783/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDCBD
  • Direct secure messaging: deborah.larbie@pvc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1356717235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 INTERSTATE 30 STE H",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502788",
            "telephone_number": "972-979-7408",
            "fax_number": "214-227-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 BROADWAY BLVD STE 422",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431575",
            "telephone_number": "972-979-7408",
            "fax_number": "972-587-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARBIE",
        "first_name": "DEBORAH",
        "middle_name": "DENSUA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NO",
            "identifier": "AP128811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DODOO",
            "middle_name": "DENSUA",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.