Active NPI
Deborah Ivey, ARNP
- Nurse Practitioner
- Panama City, FL
National Provider Identifier
1821171190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2637962
- Practice address
- 103 E 23Rd St
Panama City, FL 32405-4501 - Phone
- (850) 769-0338
- Fax
- (850) 785-6088
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2637962 | FL | Primary |
Addresses
Primary practice location
103 E 23Rd St
Panama City, FL 32405-4501
Mailing address
103 E 23Rd St
Panama City, FL 32405-4501
Phone (850) 769-0338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302564100 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2637962 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Obstetrics & Gynecology, P.a. | Past | Accepting new patients | |
| Emerald Coast OBGYN, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Panama City, FL
- NPI 1598712770
-
- Obstetrics & Gynecology Physician
- Panama City, FL
- NPI 1427364405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1821171190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054501",
"telephone_number": "850-769-0338",
"fax_number": "850-785-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054501",
"telephone_number": "850-769-0338",
"fax_number": "850-785-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "DEBORAH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2637962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302564100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.