Deborah L. Barros, ACNP
Individual provider Active NPI Family Nurse Practitioner · Driggs, ID
NPI 1861658239 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1861658239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP-884 (ID)
- Practice address
- 283 N 1St East
Driggs Health Clinic
Driggs, ID 83422-5112 - Phone
- (208) 354-2302
- Fax
- (208) 354-8392
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19023A | ID | MD | Family Nurse Practitioner |
| NP-884 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients | |
| Teton Valley Health Care Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19023A | ID | |
| Family Nurse Practitioner | 363LF0000X | NP-884 | ID | Yes |
Addresses
Primary practice location
283 N 1St East
Driggs Health Clinic
Driggs, ID 83422-5112
Mailing address
39 Morning Breeze LN
Jackson, TN 38305-9654
Phone (731) 202-1909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010169260 | Medicaid | ID |
Other names
- Ms. Deborah L. Hopper
Other providers in Driggs, ID
- Aspen Center Rehabilitaiton and Counseling
- Aspen Center Rehabilitation and Counseling
- Aspen Center Rehabilitation and Counseling LLC
- Aspen Center Rehabilitation and Counseling LLC
- Morgan G Barkdull
- Michael Douglass Barton
- Judy M Baumgardner
- Nicholas Kevin Beebe
- Jacob Andrew Belloli
- Lanie Benson
All providers in Driggs, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.