Active NPI
Jamie Ann Debouno, NP-C
- Nurse Practitioner
- Northfield, NJ
National Provider Identifier
1396989083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00185000
- Practice address
- 1907 New Rd
Northfield, NJ 08225-1545 - Phone
- (609) 645-8884
- NPI assigned
- Apr 24, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR129390000 | NJ | |
| Registered Nurse | 163W00000X | RN575581 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP010169 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP011146 | PA | |
| Nurse Practitioner | 363L00000X | 26NJ00185000 | NJ | Primary |
Addresses
Primary practice location
1907 New Rd
Northfield, NJ 08225-1545
Mailing address
151 Fries Mill Rd
Ste 202
Blackwood, NJ 08012-2057
Phone (855) 727-2465
Other names 1
- Jamie Ann Debouno
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 |
|---|---|---|---|
| 26NR129390000 | NJ | MD | Registered Nurse |
| 26NJ00185000 | NJ | MD | Nurse Practitioner |
| SP011146 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rami E Geffner MD PA | Past | Accepting new patients | |
| Dendrinos Medical Associates, P.a. | Past | Accepting new patients | |
| Visiting Physician Associates of South Jersey LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Dermatology Physician
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- NPI 1326098559
-
- Gerontology Nurse Practitioner
- Hammonton(Elm), NJ
- NPI 1306993951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1396989083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FRIES MILL RD",
"address_2": "STE 202",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122057",
"telephone_number": "855-727-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 NEW RD",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251545",
"telephone_number": "609-645-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOUNO",
"first_name": "JAMIE ANN",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR129390000",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN575581",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP010169",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011146",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00185000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE ANN",
"last_name": "DEBOUNO",
"credential": "NP-C, RN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.