Individual provider Active NPI

Debra A Rodgers Herington, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1821352410
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4504 Issued in AZ
Practice address
2355 W Chandler Blvd
Chandler, AZ 85224-6199
Phone
(480) 792-7777
Fax
(480) 792-7282
NPI assigned
Jun 27, 2012
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN000099605 AZ
Family Medicine Physician 207Q00000X AP4504 AZ
Family Nurse Practitioner 363LF0000X F0412113 AZ
Family Nurse Practitioner 363LF0000X AP4504 AZ Primary

Addresses

Primary practice location

2355 W Chandler Blvd
Chandler, AZ 85224-6199

Mailing address

1016 E Camelback Rd
Phoenix, AZ 85014-3230
Phone (602) 277-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130610000746 AZ Practitioner - Nurse Practitioner 6608015359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0412113AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Charina Tecson MD PC PastSince Sep 1, 2004 Accepting new patients

Locations

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

3807 N 7th St
Phoenix, AZ 85014

502 N 27th Ave
Phoenix, AZ 85009

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1821352410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143230",
            "telephone_number": "602-277-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246199",
            "telephone_number": "480-792-7777",
            "fax_number": "480-792-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS HERINGTON",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN000099605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP4504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F0412113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.