Active NPI
Deborah Lynn Hallquist, RN, MSN, CRNP, RNFA
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1659487338
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NN113311
- Practice address
- 1 University Mews
Philadelphia, PA 19104-4756 - Phone
- (215) 823-5800
- Fax
- (215) 823-4309
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NN113311 | NJ | Primary |
Addresses
Primary practice location
1 University Mews
Philadelphia, PA 19104-4756
Mailing address
308 Clements Bridge Rd
Barrington, NJ 08007-1808
Phone (215) 823-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN113311 | Other | NJ | NP LICENSE NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NN113311 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659487338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CLEMENTS BRIDGE RD",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071808",
"telephone_number": "215-823-5800",
"fax_number": "215-823-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY MEWS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044756",
"telephone_number": "215-823-5800",
"fax_number": "215-823-4309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLQUIST",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RN, MSN, CRNP, RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "NN113311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "NN113311",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.