Active NPI
Deborah Rowan
- Counselor
- Smyrna, TN
National Provider Identifier
1811093941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11420
- Practice address
- 617 Potomac PL
Suite 401
Smyrna, TN 37167-5657 - Phone
- (615) 267-0779
- Fax
- (615) 625-3371
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11420 | TN | Primary |
Addresses
Primary practice location
617 Potomac PL
Suite 401
Smyrna, TN 37167-5657
Mailing address
617 Potomac PL
Suite 401
Smyrna, TN 37167-5657
Phone (615) 267-0779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441529 | Medicaid | TN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11420 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1811093941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 POTOMAC PL",
"address_2": "SUITE 401",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675657",
"telephone_number": "615-267-0779",
"fax_number": "615-625-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 POTOMAC PL",
"address_2": "SUITE 401",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675657",
"telephone_number": "615-267-0779",
"fax_number": "615-625-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "11420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441529",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.