Debra J Minchow, ADULT/GERIATRIC NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

200550112NP Issued in OR

Practice address

1010 SW Coast Hwy Ste 201
Newport, OR 97365-5240

Phone

(541) 265-8816

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1609876242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675131",
            "telephone_number": "541-994-5591",
            "fax_number": "541-996-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SW COAST HWY STE 201",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655240",
            "telephone_number": "541-265-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHOW",
        "first_name": "DEBRA",
        "middle_name": "J",
        "credential": "ADULT/GERIATRIC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200550111NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "200550112NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Miller
• Jennifer P Miller, DPT
• Ronda Annis Miller, RN
• Tammy Lynn Miller, RN-BC
• Kymberly Yvonne Mills
• Monarch Learning, LLC
• Anna Monroe, CRM
• Kiara Montross, RN
• Ileana Moore
• Cynthia Gabrielle Moquin, RN, CNS

• Gerontology Nurse Practitioner in Newport, OR
• Providers in Newport, OR by specialty
• Gerontology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.