Individual provider Active NPI

Debra M Auten, LCPO

  • Prosthetist
  • Fort Worth, TX
National Provider Identifier
1467719872
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
26 Issued in TX
Practice address
1719 8TH Ave
Fort Worth, TX 76110-1349
Phone
(682) 885-6294
Fax
(682) 885-1135
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 26 TX
Prosthetist 224P00000X 26 TX Primary

Addresses

Primary practice location

1719 8TH Ave
Fort Worth, TX 76110-1349

Mailing address

PO Box 99283
Fort Worth, TX 76199-1383
Phone (817) 877-0294

Other names 1

  • Debra M Golding 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
26TXMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1467719872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99283",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761991383",
            "telephone_number": "817-877-0294",
            "fax_number": "817-877-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101349",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTEN",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "LCPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "26",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GOLDING",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.