Individual provider Active NPI

Deborah Onan

  • Family Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1487738670
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006650 Issued in KY
Practice address
3675 Smith Staples Rd
Henderson, KY 42420-9388
Phone
(615) 542-8053
Fax
(615) 246-4197
NPI assigned
Oct 24, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006650 KY Primary

Addresses

Primary practice location

3675 Smith Staples Rd
Henderson, KY 42420-9388

Mailing address

3675 Smith Staples Rd
Henderson, KY 42420-9388
Phone (615) 542-8053

Other names 1

  • Deborah Ann Bryant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000714 KY Practitioner - Nurse Practitioner 3072591148 Reassigns benefits to 1 organization
Practice locations: Henderson, KY
I20110818000256 IN Practitioner - Nurse Practitioner 3072591148 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2214 S Mayo TRL
Pikeville, KY 41501-2297
Phone (606) 437-0097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5978TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Recovery Asap CurrentSince Dec 9, 2024 Accepting new patients
Hospice of the Bluegrass, Inc. PastSince Dec 9, 2024 Accepting new patients
Middle Tennessee Surgical Associates, PLLC PastSince Jun 1, 2011 Accepting new patients
Banyan Healthcare & Wellness Center, LLC Past Accepting new patients

Locations

2214 S Mayo Trl
Pikeville, KY 41501
Phone (606) 262-0451

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1487738670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SMITH STAPLES RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209388",
            "telephone_number": "615-542-8053",
            "fax_number": "615-246-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SMITH STAPLES RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209388",
            "telephone_number": "615-542-8053",
            "fax_number": "615-246-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAN",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BRYANT",
            "middle_name": "ANN",
            "credential": "FNP DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.