Active NPI
Sharonda Debose
- Private Vehicle
- Richmond, TX
National Provider Identifier
1679294805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 5331 Tuck TRL
Richmond, TX 77469 - Phone
- (832) 243-7194
- NPI assigned
- Sep 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | 12958196 | TX | |
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
5331 Tuck TRL
Richmond, TX 77469
Mailing address
435 Murphy Rd Ste B1
Stafford, TX 77477-5420
Phone (832) 243-7194
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Info@deboseftl.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12958196 | TX | MD | Transportation Network Company |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debose Enterprises LLC | Transportation Network Company | Current | Accepting new patients |
Locations
435 Murphy Rd
Ste B1
Stafford, TX 77477
Phone (281) 204-8244
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": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1679294805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 MURPHY RD STE B1",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775420",
"telephone_number": "832-243-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 TUCK TRL",
"city": "RICHMOND",
"state": "TX",
"postal_code": "77469",
"telephone_number": "832-243-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOSE",
"first_name": "SHARONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "TX",
"license": "12958196",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Info@deboseftl.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "5331 Tuck Trl",
"city": "Richmond",
"state": "TX",
"country_code": "US",
"postal_code": "77469",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.