Deborah Staley, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

001199 Issued in CT

Practice address

357 Hartford Tpke
Vernon, CT 06066-4838

Phone

(860) 871-2102

Fax

(860) 870-0890

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthwise Medical Associates, LLP

  • Family Medicine Physician
  • Vernon, CT
  • NPI 1891749933

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1386612828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662149",
            "telephone_number": "860-896-1422",
            "fax_number": "860-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-2102",
            "fax_number": "860-870-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "DEBORAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "001199",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "001199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Sound Inpatient Physicians, PLLC
• Sparkling Smiles PLLC
• Andre Spence, MFT
• Lauren Speringo, APRN
• Terrence Wayne Sprankle, RPH.
• Brenee Denise Stanavage, MOT, OTR/L
• Matthew Paul Steciak, O.D
• Robert Bunce Stocks, DMD
• Stop and Shop Supermarket Co LLC
• Strong Foundations

• Pediatric Nurse Practitioner in Vernon, CT
• Providers in Vernon, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.