Active NPI
Deborah Jane Mears, RN BSN
- Registered Nurse
- West Lafayette, IN
National Provider Identifier
1689771602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN28074780A
- Practice address
- 502 N University Street
Johnson Hall RM B-5
West Lafayette, IN 47907-2069 - Phone
- (765) 494-6341
- Fax
- (765) 496-1022
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN28074780A | IN | Primary |
Addresses
Primary practice location
502 N University Street
Johnson Hall RM B-5
West Lafayette, IN 47907-2069
Mailing address
502 N University Street
Johnson Hall RM B-5
West Lafayette, IN 47907-2069
Phone (765) 494-6341
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN28074780A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689771602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N UNIVERSITY STREET",
"address_2": "JOHNSON HALL RM B-5",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072069",
"telephone_number": "765-494-6341",
"fax_number": "765-496-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N UNIVERSITY STREET",
"address_2": "JOHNSON HALL RM B-5",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072069",
"telephone_number": "765-494-6341",
"fax_number": "765-496-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEARS",
"first_name": "DEBORAH",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RN BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "RN28074780A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.