Individual provider Active NPI

Debbie M Garratt, FNP-C

  • Nurse Practitioner
  • Hailey, ID
National Provider Identifier
1861550089
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP375A Issued in ID
Practice address
706 S Main St
Hailey, ID 83333-8400
Phone
(208) 788-3434
Fax
(208) 788-2025
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP375A ID Primary

Addresses

Primary practice location

706 S Main St
Hailey, ID 83333-8400

Mailing address

706 S Main St
Hailey, ID 83333-8400
Phone (208) 788-3434

Other identifiers 2

IdentifierTypeStateIssuer
807446200MedicaidID
NP375AOtherIDLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20201019000005 ID Order and Referring Only - Nurse Practitioner 0244334746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP375AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Parry MD,PC Past Accepting new patients
Ketchum Family Medicine, PLLC PastSince Sep 13, 2020 Accepting new patients
St Luke'S Clinic LLC PastSince Apr 28, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25701/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1861550089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338400",
            "telephone_number": "208-788-3434",
            "fax_number": "208-788-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338400",
            "telephone_number": "208-788-3434",
            "fax_number": "208-788-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRATT",
        "first_name": "DEBBIE",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP375A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807446200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "NP375A",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

Verify at the official NPI Registry.