Individual provider Active NPI

Deborah Ann Pariso, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Paul, MN
National Provider Identifier
1407992449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R079426 Issued in MN
Practice address
1433 Highland Pkwy
Saint Paul, MN 55116-2240
Phone
(651) 698-1150
Fax
(651) 698-0455
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R079426 MN Primary

Addresses

Primary practice location

1433 Highland Pkwy
Saint Paul, MN 55116-2240

Mailing address

1433 Highland Pkwy
Saint Paul, MN 55116-2240
Phone (651) 698-1150

Other names 1

  • Deborah Ann Pariso Brown Former 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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
R079426MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407992449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 HIGHLAND PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162240",
            "telephone_number": "651-698-1150",
            "fax_number": "651-698-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 HIGHLAND PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162240",
            "telephone_number": "651-698-1150",
            "fax_number": "651-698-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISO",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R079426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "PARISO BROWN",
            "middle_name": "ANN",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

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.

Verify at the official NPI Registry.