Debra Lee Nurse, BA, CMHP, QMHP, QIDP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

42 N Mount Tom Rd
Mio, MI 48647-8739

Phone

(989) 826-3208

Fax

(989) 826-6779

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Ausable Valley Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Tawas City, MI
  • NPI 1417011701
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1508346446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486470148",
            "telephone_number": "989-826-3208",
            "fax_number": "989-826-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MOUNT TOM RD",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486478739",
            "telephone_number": "989-826-3208",
            "fax_number": "989-826-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURSE",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "BA, CMHP, QMHP, QIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Elaine Moser
• Munson Healthcare Grayling (Mio Primary Care)
• Munson Healthcare Grayling (Munson Healthcare Mio Primary Care)
• Munson Healthcare Grayling (Munson Healthcare Mio Primary Care)
• Northern Home Care LLC
• O'Cats Transit
• Kaitlyn Oates, LMSW
• Jerry Parker
• Pioneer Family Pharmacy Inc
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 01715)

• Case Manager/Care Coordinator in Mio, MI
• Providers in Mio, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.