Individual provider Active NPI

Deirdre Valois Floyd, RN, FNP-C

  • Nurse Practitioner
  • Perryton, TX
National Provider Identifier
1902827645
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
586444 Issued in TX
Practice address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone
(806) 435-7224
Fax
(806) 435-7819
NPI assigned
Jul 21, 2006
Last updated
May 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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 586444 TX Primary

Addresses

Primary practice location

3101 Garrett Dr
Perryton, TX 79070-5323

Mailing address

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-7224

Other names 1

  • Deirdre Valois Clapp Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070330000368 TX Practitioner - Nurse Practitioner 6204930266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochiltree Hospital DistrictGroup PAC ID 0749257723, shared by 7 NPIs, 15 clinicians

Practice addresses (Care Compare)

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
586444TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochiltree Hospital District CurrentSince Jan 5, 2016 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Ochiltree Hospital District CurrentSince Jan 5, 2016 Accepting new patients

Locations

3020 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3653

3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1902827645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-7224",
            "fax_number": "806-435-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-7224",
            "fax_number": "806-435-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "DEIRDRE",
        "middle_name": "VALOIS",
        "name_prefix": "Ms.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "586444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "CLAPP",
            "middle_name": "VALOIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perryton, TX

Sources for this page

Verify at the official NPI Registry.