Individual provider Active NPI

Deborah Denice Labrie, P.A.-C

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1780894055
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1060 Issued in OK
Practice address
3110 SW 89TH St
Suite 200C
Oklahoma City, OK 73159-7920
Phone
(405) 759-2663
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1060 OK Primary

Addresses

Primary practice location

3110 SW 89TH St
Suite 200C
Oklahoma City, OK 73159-7920

Mailing address

11301 Running Deer CT
Edmond, OK 73013-8344
Phone (405) 623-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20080730000157 OK Practitioner - Physician Assistant 6305910050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

3110 SW 89TH St
Suite 104
Oklahoma City, OK 73159-7920
Phone (405) 715-4496

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1060OKMDAthletic Trainer

Interoperability endpoints

  • Direct secure messaging: deborahlabrie@oklahomace.allscriptsdirect.net
  • Direct secure messaging: dlabrie456852@direct.integrisok.com

Organizations & group practices 1

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.

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1780894055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 RUNNING DEER CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138344",
            "telephone_number": "405-623-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST",
            "address_2": "SUITE 200C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597920",
            "telephone_number": "405-759-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRIE",
        "first_name": "DEBORAH",
        "middle_name": "DENICE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.