Individual provider Active NPI

Debra Winter McDonald, RN,LPC

  • Professional Counselor
  • Lake Kiowa, TX
National Provider Identifier
1508010059
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13694 Issued in TX
Practice address
113 San Chez Dr
Lake Kiowa, TX 76240-8802
Phone
(281) 687-1452
Fax
(713) 839-9471
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13694 TX Primary
Rehabilitation Registered Nurse 163WR0400X 237596 TX

Addresses

Primary practice location

113 San Chez Dr
Lake Kiowa, TX 76240-8802

Mailing address

113 San Chez Dr
Lake Kiowa, TX 76240-8802
Phone (281) 687-1452

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13694TXMDGeneral Practice Dentistry
237596TXMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1508010059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SAN CHEZ DR",
            "city": "LAKE KIOWA",
            "state": "TX",
            "postal_code": "762408802",
            "telephone_number": "281-687-1452",
            "fax_number": "713-839-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SAN CHEZ DR",
            "city": "LAKE KIOWA",
            "state": "TX",
            "postal_code": "762408802",
            "telephone_number": "281-687-1452",
            "fax_number": "713-839-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DEBRA",
        "middle_name": "WINTER",
        "credential": "RN,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13694",
            "primary": true
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "237596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Kiowa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.