Individual provider Active NPI

Deborah J. Vieira, MA

  • Nurse's Aide
  • Crewe, VA
National Provider Identifier
1407034002
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
1401029093 Issued in VA
Practice address
124 E Carolina Ave
Crewe, VA 23930-1802
Phone
(434) 538-0120
Fax
(454) 538-0121
NPI assigned
Feb 6, 2008
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1401029093 VA Primary
Home Health Agency 251E00000X HCO-11671 VA

Addresses

Primary practice location

124 E Carolina Ave
Crewe, VA 23930-1802

Mailing address

124 E Carolina Ave
Crewe, VA 23930-1802
Phone (540) 848-0183

Other names 1

  • Surefire Healthcare Professionals Professional name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
HCO-11671VAMDHome Health Agency
1401029093VAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Surefire Health Care Professionals Home Health Past Accepting new patients

Organizations & group practices 1

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1407034002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239301802",
            "telephone_number": "540-848-0183",
            "fax_number": "434-538-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239301802",
            "telephone_number": "434-538-0120",
            "fax_number": "454-538-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401029093",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-11671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUREFIRE",
            "last_name": "PROFESSIONALS",
            "middle_name": "HEALTHCARE",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crewe, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.