Individual provider Active NPI

Deborah E Schrepper, LPN

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1629312038
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP047718 Issued in AZ
Practice address
3841 N 91St Ave
Phoenix, AZ 85037-2369
Phone
(623) 772-2378
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP047718 AZ Primary

Addresses

Primary practice location

3841 N 91St Ave
Phoenix, AZ 85037-2369

Mailing address

3841 N 91St Ave
Phoenix, AZ 85037-2369
Phone (623) 772-2378

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

LicenseStateTypeSpecialty
LP047718AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Maricopa Co Maricopa County Treas Pendergast School Dist 92 Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1629312038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 N 91ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372369",
            "telephone_number": "623-772-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 N 91ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372369",
            "telephone_number": "623-772-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREPPER",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP047718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.