Individual provider Active NPI

Debra Rey Parra, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1700468733
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017780 Issued in TX
Practice address
5488 S Padre Island Dr
Corpus Christi, TX 78411-4147
Phone
(361) 356-1116
NPI assigned
Apr 28, 2021
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1017780 TX
Family Nurse Practitioner 363LF0000X 1017780 TX Primary

Addresses

Primary practice location

5488 S Padre Island Dr
Corpus Christi, TX 78411-4147

Mailing address

5488 S Padre Island Dr Ste 2210
Corpus Christi, TX 78411-4122
Phone (361) 356-1116

Other practice location 1

5802 Saratoga Blvd Ste 200
Corpus Christi, TX 78414-4252
Phone (361) 696-6043

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
I20220518000087 TX Practitioner - Nurse Practitioner 6901283738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

5802 Saratoga Blvd
Suite 150
Corpus Christi, TX 78414-4254
Phone (361) 986-4600

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1017780TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jun 6, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 6, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

5802 Saratoga Blvd
Ste 200
Corpus Christi, TX 78414
Phone (361) 696-6200

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: dparra284693@christushealth.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1700468733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR STE 2210",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114122",
            "telephone_number": "361-356-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114147",
            "telephone_number": "361-356-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Saratoga Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRA",
        "first_name": "DEBRA",
        "middle_name": "REY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1017780",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.