Individual provider Active NPI

Debra Ann Timm, NP

  • Family Nurse Practitioner
  • Lexington, VA
National Provider Identifier
1639513815
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170774 Issued in VA
Practice address
1 Health Cir
Lexington, VA 24450-2448
Phone
(540) 458-3300
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170774 VA Primary

Addresses

Primary practice location

1 Health Cir
Lexington, VA 24450-2448

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

3545 Lincoln Way E
Massillon, OH 44646-8624
Phone (330) 837-3559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, NY, HI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20131018001425 VA Practitioner - Nurse Practitioner 9335374727
I20150211002342 OH Practitioner - Nurse Practitioner 9335374727 Reassigns benefits to 1 organization
I20160916001967 NY Practitioner - Nurse Practitioner 9335374727 Reassigns benefits to 5 organizations
I20250603001067 HI Practitioner - Nurse Practitioner 9335374727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339250NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wajeeh Sana Physician PC CurrentSince Mar 11, 2024 Accepting new patients
Upstate Ny Doctor of Medicine PLLC CurrentSince Oct 1, 2024 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Jun 25, 2016 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Dec 3, 2021 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Dec 31, 2017 Accepting new patients
Sound Physicians of Hawaii Inc CurrentSince Mar 22, 2025 Accepting new patients
Upstate Ny Physician PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

515 Main St
Olean, NY 14760
Phone (716) 373-2600

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 7

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1639513815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH CIR",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502448",
            "telephone_number": "540-458-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3545 Lincoln Way E",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446468624",
            "country_code": "US",
            "telephone_number": "330-837-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMM",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.