Individual provider Active NPI

Deborah R Flaherty, NPC

  • Nurse Practitioner
  • Millville, NJ
National Provider Identifier
1912283672
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN08605200 Issued in NJ
Practice address
1601 N 2ND St
Suite D3
Millville, NJ 08332-1924
Phone
(856) 293-0305
Fax
(856) 293-8058
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 26NN08605200 NJ Primary

Addresses

Primary practice location

1601 N 2ND St
Suite D3
Millville, NJ 08332-1924

Mailing address

1601 N 2ND St
Suite D3
Millville, NJ 08332-1924
Phone (856) 293-0305

Other identifiers 1

IdentifierTypeStateIssuer
0005339MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN08605200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Past Accepting new patients
Helen L. Slone, M.D. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16732/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1912283672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE D3",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924",
            "telephone_number": "856-293-0305",
            "fax_number": "856-293-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N 2ND ST",
            "address_2": "SUITE D3",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321924",
            "telephone_number": "856-293-0305",
            "fax_number": "856-293-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN08605200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005339",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.