Debra K Gividen
Individual provider Active NPI Nurse's Aide · Carthage, TN
NPI 1528347671 · NPPES record last updated Aug 8, 2011
Key facts
- NPI
- 1528347671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 15 Hills Dale LN W
Carthage, TN 37030-2027 - Phone
- (615) 735-3982
- NPI assigned
- Aug 8, 2011
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
15 Hills Dale LN W
Carthage, TN 37030-2027
Mailing address
15 Hills Dale LN W
Carthage, TN 37030-2027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376K00000X | Other | TN | NURSE ASSISTANT |
Other providers in Carthage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2011. 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.