Individual provider Active NPI

Debra Kay Staples, RN, NP-C (FNP)

  • Nurse Practitioner
  • Refugio, TX
National Provider Identifier
1376821652
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
618594 Issued in TX
Practice address
107 1/2 Swift Street
Refugio Rural Health Clinic
Refugio, TX 78377
Phone
(361) 526-5328
Fax
(361) 526-5670
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 618594 TX Primary

Addresses

Primary practice location

107 1/2 Swift Street
Refugio Rural Health Clinic
Refugio, TX 78377

Mailing address

107 1/2 Swift Street
Refugio Rural Health Clinic
Refugio, TX 78377
Phone (361) 526-5328

Other names 1

  • Kayla Staples Professional 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
I20240422000656 TX Practitioner - Nurse Practitioner 5496974016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refugio County Memorial Hospital DistrictGroup PAC ID 1153216783, 11 clinicians

Practice addresses (Care Compare)

107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138

Hospital & facility affiliations

  • Refugio County Memorial Hospital Hospital, Refugio, TX, CCN 451317
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
618594TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Refugio County Memorial Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Refugio County Memorial Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients

Locations

107 Swift St
Refugio, TX 78377
Phone (361) 526-2321

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7f96711f-afb0-4764-969a-c5d57fe30c59/

Organizations & group practices 5

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 3

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1376821652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 1/2 SWIFT STREET",
            "address_2": "REFUGIO RURAL HEALTH CLINIC",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "78377",
            "telephone_number": "361-526-5328",
            "fax_number": "361-526-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 1/2 SWIFT STREET",
            "address_2": "REFUGIO RURAL HEALTH CLINIC",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "78377",
            "telephone_number": "361-526-5328",
            "fax_number": "361-526-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "RN, NP-C (FNP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "618594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "STAPLES",
            "credential": "RN, NP-C (FNP)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Refugio, TX

Sources for this page

Verify at the official NPI Registry.