Debra Gail Mammen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AZ2171 Issued in AZ

Practice address

3200 N Dobson Rd
Suite F3
Chandler, AZ 85224-9601

Phone

(480) 838-4277

Fax

(480) 777-2331

NPI assigned

Nov 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debra.mammen@71082555932676.direct.elationemr.com

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.

• Kmtrask, PLLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1518413962
  Medicare reassignment NPD
• Desert Valley Family Medicine

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1275643157
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831170711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W SHERRI DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337935",
            "telephone_number": "480-518-1488",
            "fax_number": "480-777-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD",
            "address_2": "SUITE F3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249601",
            "telephone_number": "480-838-4277",
            "fax_number": "480-777-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "DEBRA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AZ2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sowjanya Naga Sanjivi Malla, MD
• Vivek Malladi, M.D.
• Sofia Gabrielle Malloy
• Kiemondtae Allen Malone
• Connor Maly, PHARMD
• Micah Mammen, PSYCHOLOGIST
• Mammography Parnters LLC
• Laura Mamook
• Mana Health (Infinite Creations Compounding Pharmacy)
• Anna Manalo, MSN FNP-C

• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.