Individual provider Active NPI

Debra Ellen Vangaasbeek, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1770665994
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
989452 Issued in FL
Practice address
8003 King Helie Blvd
New Port Richey, FL 34653
Phone
(850) 566-6627
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 989452 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 989452 FL Primary

Addresses

Primary practice location

8003 King Helie Blvd
New Port Richey, FL 34653

Mailing address

8002 King Helie Blvd
New Port Richey, FL 34653-5349
Phone (850) 566-6627

Other identifiers 1

IdentifierTypeStateIssuer
301920900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
989452FLMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1770665994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535349",
            "telephone_number": "850-566-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "850-566-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGAASBEEK",
        "first_name": "DEBRA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "989452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "989452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301920900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.