NPIMap

Individual provider Active NPI

Debra Atwood

  • Homemaker
  • Vancouver, WA
National Provider Identifier
1558555201
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
7300 NE 100TH Ave Unit 4
Vancouver, WA 98662-4008
Phone
(360) 944-8794
NPI assigned
Sep 5, 2007
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Homemaker 376J00000X Primary

Addresses

Primary practice location

7300 NE 100TH Ave Unit 4
Vancouver, WA 98662-4008

Mailing address

7300 NE 100TH Ave Unit 4
Vancouver, WA 98662-4008
Phone (360) 944-8794

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address datwood@rosemedicalgroups.org Health Information Exchange (HIE) Rose Medical Groups, PC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home Society of Washington Past Accepting new patients
Rose Medical Groups, PC PastSince Jul 17, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: datwood@rosemedicalgroups.org
  • FHIR API: https://api.platform.athenahealth.com/10370/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1558555201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 NE 100TH AVE UNIT 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624008",
            "telephone_number": "360-944-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 NE 100TH AVE UNIT 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624008",
            "telephone_number": "360-944-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "datwood@rosemedicalgroups.org",
            "affiliation": "Y",
            "affiliationName": "Rose Medical Groups, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18 NW 20th Ave",
            "address_2": "Suite 101",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986044226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.