Active NPI
Deborah Divine Serwadda, NP
- Nurse Practitioner
- Aubrey, TX
National Provider Identifier
1699657205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1003346
- Practice address
- 8981 Eaton St
Aubrey, TX 76227-2172 - Phone
- (989) 714-0989
- NPI assigned
- Jul 23, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1003346 | TX | Primary |
Addresses
Primary practice location
8981 Eaton St
Aubrey, TX 76227-2172
Mailing address
8981 Eaton St
Aubrey, TX 76227-2172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3044 Hidden Valley Dr
Fort Worth, TX 76177-2716
424 Church St
Nashville, TN 37219-2301
8981 Eaton St
Aubrey, TX 76227-2172
PO Box
Suite 2736
Desoto, TX 75123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003346 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Physician Services of Texas, P.a. | Nurse Practitioner | Current | Accepting new patients |
| Heritage Parkway Medical PLLC | Current | Accepting new patients | |
| Ry Jay Z LLC | Past | Accepting new patients |
Locations
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
2410 Luna Rd
Ste 202
Carrollton, TX 75006
Phone (214) 592-1854
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sherman, TX
- NPI 1770140550
-
- Nurse Practitioner
- Abilene, TX
- NPI 1043529944
-
- General Practice Physician
- Sherman, TX
- NPI 1760047617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1699657205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8981 EATON ST",
"city": "AUBREY",
"state": "TX",
"postal_code": "762272172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8981 EATON ST",
"city": "AUBREY",
"state": "TX",
"postal_code": "762272172",
"telephone_number": "989-714-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERWADDA",
"first_name": "DEBORAH",
"middle_name": "DIVINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1003346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.