Active NPI
Debra Tipton
- Foster Care Agency
- Apache Junction, AZ
National Provider Identifier
1679639447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 11092
- Practice address
- 1445 W 18TH Ave
Apache Junction, AZ 85120-6348 - Phone
- (480) 510-1837
- NPI assigned
- Dec 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 11092 | AZ | |
| Foster Care Agency | 253J00000X | 11092 | AZ | Primary |
Addresses
Primary practice location
1445 W 18TH Ave
Apache Junction, AZ 85120-6348
Mailing address
1445 W 18TH Ave
Apache Junction, AZ 85120-6348
Phone (480) 510-1837
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 |
|---|---|---|---|
| 11092 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1679639447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 W 18TH AVE",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851206348",
"telephone_number": "480-510-1837",
"fax_number": "602-455-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 W 18TH AVE",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851206348",
"telephone_number": "480-510-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "11092",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "11092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.