Active NPI
Debra A Rodgers Herington, FNP
- Family Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1821352410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4504
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0412113 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle del Sol, Inc. | Current | 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 | Past | 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1831344035
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1356522684
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1689896094
-
dba Sun Life Family Health Center
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1508276940
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.