Individual provider Active NPI

Deborah Divine Serwadda, NP

  • Nurse Practitioner
  • Aubrey, TX
National Provider Identifier
1699657205
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1003346 Issued in TX
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

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113002906 TX Practitioner - Nurse Practitioner 7517443153 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
1003346TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Heritage Parkway Medical PLLC CurrentSince Jan 10, 2026 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.

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

Verify at the official NPI Registry.