Deborah E. De la Cruz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2005005145-22 Issued in MO

Practice address

69 Doctors Park
Suite C
Cape Girardeau, MO 63703-4927

Phone

(573) 332-1900

Fax

(573) 332-0444

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southeast Missouri Network Against Sexual Violence Inc.

  • Voluntary or Charitable Agency
  • Jackson, MO
  • NPI 1972556843
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649320557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 ARNOLD DR",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801403",
            "telephone_number": "573-560-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 DOCTORS PARK",
            "address_2": "SUITE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-332-1900",
            "fax_number": "573-332-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "DEBORAH",
        "middle_name": "E.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005005145-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenda J Davis, P.T.A.
• Ryan M Davis, MD
• Stacey D Davison, PT
• Michael Adrian Dawes, CRNA
• Morgan Dawson, LPN
• Violet Holly De la Cruz, FNP-BC
• Deborah D Price
• Bailey J Debus, LCSW
• Patricia A Deck, LCSW
• Carrie Michele Decker, MD

• All providers in Cape Girardeau, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.