Active NPI
Debra S Mulrooney, M.D.
- Pediatrics Physician
- Okeechobee, FL
National Provider Identifier
1497850457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME103305
- Practice address
- 2015 US Highway 441 N
Okeechobee, FL 34972-1901 - Phone
- (863) 763-1951
- Fax
- (863) 357-2991
- NPI assigned
- Sep 14, 2006
- Last updated
- Mar 19, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME103305 | FL | Primary |
Addresses
Primary practice location
2015 US Highway 441 N
Okeechobee, FL 34972-1901
Mailing address
5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3394310 | Medicaid | MI | |
| 001145000 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103305 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Community Health Centers, Inc. | Past | Accepting new patients | |
| Florida Community Health Centers Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dmulrooney@watchusgrow.opdirect.net
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Okeechobee, FL
- NPI 1831148741
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Belle Glade, FL
- NPI 1669191755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1497850457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5827 CORPORATE WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072000",
"telephone_number": "561-844-9443",
"fax_number": "561-472-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 US HIGHWAY 441 N",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349721901",
"telephone_number": "863-763-1951",
"fax_number": "863-357-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULROONEY",
"first_name": "DEBRA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME103305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3394310",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001145000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okeechobee, FL
- Philip Moyer, M.D.
- Kim C Mucherino, PHARM D
- Muhammad a Chaudhary MD PA
- Muhammad K Syed MD PA - Pharmacy
- Muhammad K Syed, MD, PA (Indiantown Medical Center)
- Alisha Betty Jane Myers, ARNP
- Dirk Joseph Myers, PHARMD
- Tahir Naeem, MD
- George Frederick Naryshkin, DMD
- National Medical Care, Inc. (RCC Okeechobee)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.