Deborah R. Mitchell, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP107319 Issued in TX

Practice address

5012 S US Highway 75
Suite 300
Denison, TX 75020-4587

Phone

(903) 416-6200

Fax

(903) 416-6201

NPI assigned

Sep 6, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

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.

• Sherman MD Provider Inc

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1841696846
  Medicare reassignment NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  Medicare reassignment NPD
• Sherman MD Provider Inc

  • Specialist
  • Houston, TX
  • NPI 1669367256
  NPD
• Texomacare

  • Family Medicine Physician
  • Bonham, TX
  • NPI 1770536518
  NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1912419250
  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1861595902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATTN BILLING",
            "city": "DENSION",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6200",
            "fax_number": "903-416-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DEBORAH",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP107319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200571280A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138804205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Miller, PT
• Nicholas James Miller, PHARMD
• Susan Christine Miller, RPH
• Cherie Minchey
• Christina Mitchell
• Cassie Elizabeth Mixon, OTR
• Gary Mobley, DDS, M.SC.
• Mohammed Moizuddin, MD
• Autumn Montana
• Keyla Montes, SLPA

• Pediatric Nurse Practitioner in Denison, TX
• Providers in Denison, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.