Individual provider Active NPI

Debra Marie May, PEER SPECIALIST-BHA

  • Peer Specialist
  • Modesto, CA
National Provider Identifier
1366005886
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MVLDCTZUJNKFHWRA Issued in CA
Practice address
421 E Morris Ave
Modesto, CA 95354-0437
Phone
(209) 558-7494
Fax
(209) 558-8918
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Prevention Professional 405300000X C0202543 CA
Peer Specialist 175T00000X MVLDCTZUJNKFHWRA CA Primary

Addresses

Primary practice location

421 E Morris Ave
Modesto, CA 95354-0437

Mailing address

421 E Morris Ave
Modesto, CA 95354-0437
Phone (209) 558-7494

Other names 1

  • Debra Marie Search 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MVLDCTZUJNKFHWRACAMDPeer Specialist
C0202543CAMDPrevention Professional

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1366005886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E MORRIS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540437",
            "telephone_number": "209-558-7494",
            "fax_number": "209-558-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MORRIS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540437",
            "telephone_number": "209-558-7494",
            "fax_number": "209-558-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "PEER SPECIALIST-BHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "C0202543",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MVLDCTZUJNKFHWRA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SEARCH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.