Individual provider Active NPI

Debra A Thornby

  • Occupational Health Registered Nurse
  • Fort Huachuca, AZ
National Provider Identifier
1417315797
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
RN035218 Issued in AZ
Practice address
2240 Winrow Rd
Fort Huachuca, AZ 85613-5080
Phone
(520) 533-4887
Fax
(520) 538-0772
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X RN035218 AZ Primary

Addresses

Primary practice location

2240 Winrow Rd
Fort Huachuca, AZ 85613-5080

Mailing address

PO Box 1691
40 Art Avenue
Bisbee, AZ 85603-2691
Phone (520) 432-2094

Other names 1

  • Debra A Carota 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN035218AZMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1417315797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1691",
            "address_2": "40 ART AVENUE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856032691",
            "telephone_number": "520-432-2094",
            "fax_number": "520-538-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW RD",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856135080",
            "telephone_number": "520-533-4887",
            "fax_number": "520-538-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBY",
        "first_name": "DEBRA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "AZ",
            "license": "RN035218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "CAROTA",
            "middle_name": "A",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Huachuca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.