Traci R Debeir, RN, BSN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

2007010047 Issued in MO

Practice address

6643 Shepley Dr
Saint Louis, MO 63105-2354

Phone

(314) 935-6666

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Habif Health and Wellness Center

  • Student Health Clinic/Center
  • Saint Louis, MO
  • NPI 1558601518
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1447502034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 SHEPLEY DRIVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-935-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6643 SHEPLEY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052354",
            "telephone_number": "314-935-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEIR",
        "first_name": "TRACI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MO",
            "license": "2007010047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole Debarry, PNP
• Thomas F Debartolo, MD
• Ashley Kristin Debauge, MD
• Debbie Granick LCSW RN LLC
• Jordan Debeatham-Gaspard
• Lisa A Debernardi, DPM
• Vincent Joseph Deblaze
• James Walton Debnam Jr., M.D.
• James W Deboard, MD
• Austin Robert Deboer, ATC

• College Health Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• College Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.