Individual provider Active NPI

Debra S Parra, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Del Norte, CO
National Provider Identifier
1386795920
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
127904 Issued in CO
Practice address
0310C County Road 14
Del Norte, CO 81132-8719
Phone
(719) 657-3318
Fax
(719) 657-3317
NPI assigned
Jan 12, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 127904 CO Primary

Addresses

Primary practice location

0310C County Road 14
Del Norte, CO 81132-8719

Mailing address

0310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510

Other identifiers 1

IdentifierTypeStateIssuer
55487238MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070322000625 CO Practitioner - Nurse Practitioner 9234233784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

310 County Rd
14 Unit C
Del Norte, CO 81132-8759
Phone (719) 657-2418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Jun 30, 2013 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Jun 30, 2013 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

310 County Road 14
Unit C
Del Norte, CO 81132
Phone (719) 657-2418

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Interoperability endpoints

  • Direct secure messaging: dparra@direct.rio-grande-hospital.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1386795920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0310C COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-3318",
            "fax_number": "719-657-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "127904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55487238",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Norte, CO

Sources for this page

Verify at the official NPI Registry.