Active NPI
Debra T Gibbons, RD
- Registered Dietitian
- Hyannis, MA
National Provider Identifier
1760450787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 161
- Practice address
- 171 Main Street
Cape Cod Hospital Diabetes Outpatient Department
Hyannis, MA 02601 - Phone
- (508) 862-5118
- Fax
- (508) 778-9250
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 161 | MA | Primary |
Addresses
Primary practice location
171 Main Street
Cape Cod Hospital Diabetes Outpatient Department
Hyannis, MA 02601
Mailing address
171 Main Street
Cape Cod Hospital Diabetes Outpatient Department
Hyannis, MA 02601
Phone (508) 862-5118
Other names 1
- Debra M Tarr
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Past | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Mashpee, MA
- NPI 1306391206
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1760450787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN STREET",
"address_2": "CAPE COD HOSPITAL DIABETES OUTPATIENT DEPARTMENT",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-862-5118",
"fax_number": "508-778-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MAIN STREET",
"address_2": "CAPE COD HOSPITAL DIABETES OUTPATIENT DEPARTMENT",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-862-5118",
"fax_number": "508-778-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "DEBRA",
"middle_name": "T",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "TARR",
"middle_name": "M",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.