Debra Lavigne, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F3017681 Issued in NY

Practice address

209 W State St
Ithaca, NY 14850-5429

Phone

(607) 257-5263

Fax

(607) 216-0902

NPI assigned

Jan 9, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801945969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505429",
            "telephone_number": "607-257-5263",
            "fax_number": "607-216-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505429",
            "telephone_number": "607-257-5263",
            "fax_number": "607-216-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "DEBRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3017681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "F3017681",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Larsen, FNP
• Lance E Lauchle, LPT
• Mary Lauppe, MA
• Laura a. Staubes BSN-RN, PLLC
• Robert Laurentz, PSY.D.
• Edward James Lavigne
• Adam Law, M.D.
• Erica Lawlor, PA-C
• Elizabeth Mary Lawrence, RN
• Stephanie Lawson, NP

• All providers in Ithaca, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.