Active NPI
Deborah L Vanbeukering, D.O.
- Legal Medicine
- Covington, TN
National Provider Identifier
1689808628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- D01036
- Practice address
- 1998 Highway 51 S
Covington, TN 38019-3623 - Phone
- (901) 476-1155
- Fax
- (901) 475-2940
- NPI assigned
- May 5, 2009
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | D01036 | TN | Primary |
Addresses
Primary practice location
1998 Highway 51 S
Covington, TN 38019-3623
Mailing address
1998 Highway 51 S
Covington, TN 38019-3623
Phone (901) 476-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3197637 | Medicaid | TN |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D01036 | TN | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1689808628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1998 HIGHWAY 51 S",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193623",
"telephone_number": "901-476-1155",
"fax_number": "901-475-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 HIGHWAY 51 S",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193623",
"telephone_number": "901-476-1155",
"fax_number": "901-475-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBEUKERING",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "TN",
"license": "D01036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3197637",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.