Deeba Korous, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1097435 Issued in TX

Practice address

2942 S Buckner Blvd
Dallas, TX 75227-6907

Phone

(214) 381-1187

Fax

(214) 381-7213

NPI assigned

Oct 25, 2022

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1477270007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907",
            "telephone_number": "214-381-1187",
            "fax_number": "214-381-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907",
            "telephone_number": "214-381-1187",
            "fax_number": "214-381-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROUS",
        "first_name": "DEEBA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1097435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Harley Kornak, NNP-BC
• Ilyse Samantha Kornblau, MD
• Grace Kornegay
• Irwin Steven Korngut, M.D.
• Nabeel Samir Koro, M.D.
• Jonathan Ryan Korpon
• Korrdokkz Healthcare PLLC
• Emma L. Korshukin, WHCNP
• Jessica Korthauer, PTA
• Kortmed Marketing & Management LLC (Kortmed)

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.