Active NPI
Deborah S. Centeno, F.N.P.
- Family Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1396722187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 254955
- Practice address
- 3909 N Classen Blvd Ste 101
Oklahoma City, OK 73118-2650 - Phone
- (405) 536-1313
- Fax
- (405) 536-1391
- NPI assigned
- Dec 22, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 254955 | TX | Primary |
Addresses
Primary practice location
3909 N Classen Blvd Ste 101
Oklahoma City, OK 73118-2650
Mailing address
7434 Stonefruit St
San Antonio, TX 78240-3705
Phone (210) 509-4356
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254955 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396722187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7434 STONEFRUIT ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403705",
"telephone_number": "210-509-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 N CLASSEN BLVD STE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182650",
"telephone_number": "405-536-1313",
"fax_number": "405-536-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "DEBORAH",
"middle_name": "S.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "254955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Celia a. Burke, PH.D. LLC
- Amanda Michelle Celii, M.D.
- Amber J Ceniceros, PA
- Cental Oklahoma Behavioral Health Services LLC
- Centennial Health, PC (Oklahoma City Clinic, PC)
- Center for Counseling Care of Oklahoma (Redbud Family Counseling)
- Center for Joint Relief LLC
- Center for Neurobehavioral Health
- Center for Psychotherapy, Education and Spiritual Growth, Inc.
- Center for Reproductive Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.