Individual provider Active NPI

Debra Lynn Ocker, PH.D.

  • Specialist
  • Merritt Island, FL
National Provider Identifier
1841356276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0022088 Issued in FL
Practice address
1395 N Courtenay Pkwy Ste 206
Merritt Island, FL 32953-4475
Phone
(321) 456-5080
Fax
(321) 456-5067
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0022088 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy Ste 206
Merritt Island, FL 32953-4475

Mailing address

319 Fillmore Ave
Cape Canaveral, FL 32920-3126
Phone (321) 456-5080

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0022088FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841356276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FILLMORE AVE",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329203126",
            "telephone_number": "321-456-5080",
            "fax_number": "321-456-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 206",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534475",
            "telephone_number": "321-456-5080",
            "fax_number": "321-456-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKER",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.