Deborah Colleen Shouse, RN, BC, FNP
Individual provider Active NPI Family Nurse Practitioner · Paris, MO
NPI 1508949413 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1508949413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 065464 (MO)
- Practice address
- 102 E Marion St
Paris, MO 65275-1041 - Phone
- (660) 327-4911
- Fax
- (660) 327-5501
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065464 | MO | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 065464 | MO | Yes |
Addresses
Primary practice location
102 E Marion St
Paris, MO 65275-1041
Mailing address
102 E Marion St
Paris, MO 65275-1041
Phone (660) 327-4911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425891603 | Medicaid | MO | |
| 065464 | Other | MO | RN NP LICENSE # |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Paris, MO
- Paul Rice
- Jessica Lynn Roemmelt
- Eric Schumm
- Senior Citizens Community Center
- Senior Citizens Community Center
- SSM Audrain Health Care, Inc.
- Julie Surdal
- The Sutherland Clinic LLC
- Aggrey Wanyonyi
- Katelin Moore Worthington
All providers in Paris, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.