Debra K. Vivatson, MSN ACNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R22555 Issued in ND

Practice address

201 East 3Rd Ave S
Cavalier, ND 58220

Phone

(701) 780-5000

NPI assigned

Nov 29, 2011

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Avera St Lukes

  dba Avera Clinic of Ellendale

  • Rural Health Clinic/Center
  • Ellendale, ND
  • NPI 1760423057
  Medicare reassignment NPD
• Cavalier County Memorial Hospital Association

  dba Cavalier County Memorial Hospital & Clinics

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Critical Access Hospital
  • Devils Lake, ND
  • NPI 1659343093
  Medicare reassignment NPD
• Avera St. Luke's

  dba Avera Medical Group Orthopedic Surgery Specialists

  • Orthopaedic Surgery Physician
  • Aberdeen, SD
  • NPI 1124459391
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD
• Cavalier County Memorial Hospital Association

  dba Langdon Prairie Health

  • Rural Health Clinic/Center
  • Langdon, ND
  • NPI 1730126640
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1720355233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582066002",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST 3RD AVE S",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVATSON",
        "first_name": "DEBRA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MSN ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ND",
            "license": "R22555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kulvinder Sumra, MD
• Derek Allan Sundby, DC
• Swanson Eye Clinic, PC
• Susan J Thompson, MD
• Thomas Vela
• White Drug Co of Jamestown Inc (Thrifty White Pharmacy #053)
• Christie Lee Winkler

• Acute Care Nurse Practitioner in Cavalier, ND
• Providers in Cavalier, ND by specialty
• Acute Care Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.