Individual provider Active NPI

Debra Jeanne Oestreich, NP

  • Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1699724492
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209004419 Issued in IL
Practice address
2905 N Main St
Decatur, IL 62526-4274
Phone
(217) 877-9117
Fax
(217) 877-3077
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 209004419 IL Primary

Addresses

Primary practice location

2905 N Main St
Decatur, IL 62526-4274

Mailing address

2905 N Main St
Decatur, IL 62526-4274
Phone (217) 877-9117

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1699724492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264274",
            "telephone_number": "217-877-9117",
            "fax_number": "217-877-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264274",
            "telephone_number": "217-877-9117",
            "fax_number": "217-877-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTREICH",
        "first_name": "DEBRA",
        "middle_name": "JEANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.