Active NPI
Debra Winter McDonald, RN,LPC
- Professional Counselor
- Lake Kiowa, TX
National Provider Identifier
1508010059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13694 | TX | MD | General Practice Dentistry |
| 237596 | TX | MD | Rehabilitation 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.