Active NPI
Debra Lynn Niese, RN, BSN
- Critical Care Medicine Registered Nurse
- Van Wert, OH
National Provider Identifier
1538878269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN.151606
- Practice address
- 1088 Mockingbird LN
Van Wert, OH 45891-2642 - Phone
- (419) 238-4311
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.151606 | OH | Primary |
Addresses
Primary practice location
1088 Mockingbird LN
Van Wert, OH 45891-2642
Mailing address
3100 Road 13C
Leipsic, OH 45856-9448
Phone (419) 230-5747
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.151606 | OH | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1538878269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 ROAD 13C",
"city": "LEIPSIC",
"state": "OH",
"postal_code": "458569448",
"telephone_number": "419-230-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 MOCKINGBIRD LN",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912642",
"telephone_number": "419-238-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIESE",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN.151606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.