Individual provider Active NPI

Deborah Behre, DPM

  • Podiatrist
  • Lacey, WA
National Provider Identifier
1790994820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
365 Issued in WA
Practice address
314 Logger CT SE
Lacey, WA 98503-6722
Phone
(360) 438-7083
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 365 WA Primary

Addresses

Primary practice location

314 Logger CT SE
Lacey, WA 98503-6722

Mailing address

PO Box 14653
Tumwater, WA 98511-4653
Phone (360) 438-7083

Other identifiers 1

IdentifierTypeStateIssuer
1022714MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051019000609 WA Practitioner - Podiatry 3779509773 Reassigns benefits to 1 organization
Practice locations: Olympia, WA
I20120224000054 TX Practitioner - Podiatry 3779509773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skokomish Tribal CouncilGroup PAC ID 7719060375, 4 clinicians
Confederated Tribes of the Chehalis ReservationGroup PAC ID 1153219829, 4 clinicians

Practice addresses (Care Compare)

100 N Tribal Ctr Rd
Skokomish Nation, WA 98584-9748
Phone 36042657552101

21 Neiderman Rd
Oakville, WA 98568-8910
Phone (360) 273-5504

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue68
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
365WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Chehalis Reservation CurrentSince Feb 18, 2017 Accepting new patients
Skokomish Tribal Council CurrentSince Jan 15, 2012 Accepting new patients
Confederated Tribes of the Chehalis Reservation CurrentSince Feb 18, 2017 Accepting new patients
Northwest Neuromuscular Associates PC Past Accepting new patients

Locations

21 Niederman Rd
Oakville, WA 98568
Phone (360) 273-5504

100 N Tribal Center Rd
Skokomish Nation, WA 98584
Phone (360) 426-5755

Interoperability endpoints

  • Direct secure messaging: deborah.behre@1272.securemail.prognocis.com
  • Direct secure messaging: dbehre807250@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790994820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14653",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114653",
            "telephone_number": "360-438-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LOGGER CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036722",
            "telephone_number": "360-438-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRE",
        "first_name": "DEBORAH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.