Active NPI
Debra Rawson
- Family Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1497147656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001328
- Practice address
- 1110 N Dutton Ave
Santa Rosa, CA 95401-4606 - Phone
- (707) 303-3600
- NPI assigned
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001328 | CA | Primary |
Addresses
Primary practice location
1110 N Dutton Ave
Santa Rosa, CA 95401-4606
Mailing address
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Other practice location 1
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170116000473 | CA | Order and Referring Only - Nurse Practitioner | 1153603774 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Community Healt Centers | Past | Accepting new patients |
Interoperability endpoints
- drawson300799@direct-ucsfmedicalcenter.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1023439759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1497147656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035781",
"telephone_number": "707-303-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014606",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [
{
"address_1": "3569 Round Barn Cir",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035781",
"country_code": "US",
"telephone_number": "707-303-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAWSON",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-25",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.