Individual provider Active NPI

Deborah Vathally, APRN

  • Family Nurse Practitioner
  • Somersworth, NH
National Provider Identifier
1386123602
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
056540-23 Issued in NH
Practice address
396 High St Ste 1
Somersworth, NH 03878-1427
Phone
(603) 692-6066
Fax
(603) 692-4815
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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 056540-23 NH Primary

Addresses

Primary practice location

396 High St Ste 1
Somersworth, NH 03878-1427

Mailing address

396 High St Ste 1
Somersworth, NH 03878-1427
Phone (603) 692-6066

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

State licenses

LicenseStateTypeSpecialty
056540-23NHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1386123602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 HIGH ST STE 1",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781427",
            "telephone_number": "603-692-6066",
            "fax_number": "603-692-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 HIGH ST STE 1",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781427",
            "telephone_number": "603-692-6066",
            "fax_number": "603-692-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATHALLY",
        "first_name": "DEBORAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "056540-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.