Individual provider Active NPI

Deborah Ann Bomford, ARNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1386931210
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006262 Issued in FL
Practice address
22 Century Blvd Ste 200
Nashville, TN 37214-3702
Phone
(877) 714-1370
NPI assigned
Jun 29, 2011
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 3006262 FL Primary

Addresses

Primary practice location

22 Century Blvd Ste 200
Nashville, TN 37214-3702

Mailing address

3791 Woods Walk Blvd
Lake Worth, FL 33467-2361
Phone (561) 707-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, VA, SC, NC, AL, NJ, OH, LA, NV, ID, WI, MO, MD, IN, DC, TX17 enrollments
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 17

Enrollment IDStateProvider typePAC IDDetails
I20180201000747 TN Practitioner - Nurse Practitioner 4385814813
I20181001001685 GA Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20181218001142 VA Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20210303001216 SC Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20210519000192 NC Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20220113000696 AL Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20230424003117 NJ Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20230907002360 OH Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20231027003263 LA Practitioner - Nurse Practitioner 4385814813
I20240108005526 NV Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20240119002867 ID Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20240417000122 WI Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20240718002212 MO Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20250531000001 MD Practitioner - Nurse Practitioner 4385814813
I20251103001190 IN Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20260216000844 DC Practitioner - Nurse Practitioner 4385814813 Reassigns benefits to 1 organization
I20260528000641 TX Practitioner - Nurse Practitioner 4385814813 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

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006262FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Medical Group of North Carolina, PC CurrentSince May 15, 2025 Accepting new patients
Caremore Health Medical Partners, PC Past Accepting new patients
South County Endocrinology P a Past Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

Interoperability endpoints

  • Direct secure messaging: dbomford19827@carelonhealth.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1386931210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 WOODS WALK BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672361",
            "telephone_number": "561-707-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CENTURY BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143702",
            "telephone_number": "877-714-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMFORD",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3006262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.