Active NPI
Dena Kae Deboer
- School Registered Nurse
- Firth, NE
National Provider Identifier
1518501097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 42541
- Practice address
- 25211 S 68TH St
Firth, NE 68358-7598 - Phone
- (402) 791-0020
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 29, 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 42541 | NE | Primary |
Addresses
Primary practice location
25211 S 68TH St
Firth, NE 68358-7598
Mailing address
25211 S 68TH St
Firth, NE 68358-7598
Phone (402) 791-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42541 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42541 | NE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norris School District 160 | Current | Accepting new patients |
Locations
25211 S 68th St
Firth, NE 68358
Phone (402) 791-0000
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Firth, NE
- NPI 1437802667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1518501097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25211 S 68TH ST",
"city": "FIRTH",
"state": "NE",
"postal_code": "683587598",
"telephone_number": "402-791-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25211 S 68TH ST",
"city": "FIRTH",
"state": "NE",
"postal_code": "683587598",
"telephone_number": "402-791-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOER",
"first_name": "DENA",
"middle_name": "KAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "42541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42541",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Firth, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.