Johanna Lisette Debruyn, MSN, RN, PHN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

802986 Issued in CA

Practice address

150 District Center Dr
Palm Springs, CA 92264-3626

Phone

(760) 835-9836

Fax

(760) 325-8730

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

No

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

Master of 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 and National Provider Directory roles.

• Palm Springs Unified School District

  • School Registered Nurse
  • Palm Springs, CA
  • NPI 1427180694
  NPD (past)

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1467217703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 AMBER SKY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203729",
            "telephone_number": "909-844-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DISTRICT CENTER DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922643626",
            "telephone_number": "760-835-9836",
            "fax_number": "760-325-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRUYN",
        "first_name": "JOHANNA",
        "middle_name": "LISETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "802986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Patrick De Camp, REGISTERED NURSE
• Elizabeth De Dios
• Alexis Taylor De Lacy, DO
• Yolanda Stephanie De Loera, ED.D.
• Emily De Ocera, NP
• Paul Debruyn
• Sherry Deguire, S.L.P.
• Vanessa Del Rio
• Alexander R Del Rosario, M.D.
• Trino Del Toro II

• School Registered Nurse in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.