Active NPI
Debora Kay Arrera, RXS, PMHCNS-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Parker, CO
National Provider Identifier
1407836679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 79004
- Practice address
- 10350 Dransfeldt Rd
Parker, CO 80134-9673 - Phone
- (303) 597-3860
- Fax
- (303) 841-5140
- NPI assigned
- Jan 21, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 79004 | CO | Primary |
Addresses
Primary practice location
10350 Dransfeldt Rd
Parker, CO 80134-9673
Mailing address
10350 Dransfeldt Rd
Parker, CO 80134-9673
Phone (303) 597-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79004 | CO | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1407836679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 DRANSFELDT RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349673",
"telephone_number": "303-597-3860",
"fax_number": "303-841-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 DRANSFELDT RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349673",
"telephone_number": "303-597-3860",
"fax_number": "303-841-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRERA",
"first_name": "DEBORA",
"middle_name": "KAY",
"credential": "RXS, PMHCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-21",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "CO",
"license": "79004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.