Individual provider Active NPI

Debra Kay Woods, A.P.N.

  • Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1891809273
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
514018 Issued in TX
Practice address
1901 Highway 87 N
Big Spring, TX 79720-0283
Phone
(432) 267-8216
Fax
(432) 268-7790
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 514018 TX Primary

Addresses

Primary practice location

1901 Highway 87 N
Big Spring, TX 79720-0283

Mailing address

1901 Highway 87 N
Big Spring, TX 79720-0283
Phone (432) 267-8216

Other identifiers 1

IdentifierTypeStateIssuer
1706384-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040505001050 TX Practitioner - Nurse Practitioner 2365430568 Reassigns benefits to 1 organization
I20100109000054 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 2365430568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Big Spring, TX 79720-4122
Phone (432) 263-0027

700 W Daggett St
Suite 4
Pecos, TX 79772-6901
Phone (432) 447-2628

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR CurrentSince Nov 15, 2009 Accepting new patients
Health and Human Services Commission Nurse Practitioner Past Accepting new patients
Department of State Health Services Past Accepting new patients

Locations

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1891809273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 87 N",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216",
            "fax_number": "432-268-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 87 N",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216",
            "fax_number": "432-268-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "514018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706384-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.