Deborah A Van Etten, MS,APRN,BC,CS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

155485 Issued in MA

Practice address

90 Concord Ave
Belmont, MA 02478-4046

Phone

(617) 251-6896

NPI assigned

Jun 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1942240197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LORING RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216907",
            "telephone_number": "781-861-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784046",
            "telephone_number": "617-251-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ETTEN",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS,APRN,BC,CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "155485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Vafai, DC
• Ipsit Vihang Vahia, M.D.
• Stephanie C Valcourt, M.D.
• Rachel Van Boxtel, MS
• Julie R Van Der Feen, M.D.
• Nathaniel Van Kirk, PH.D.
• Amber Jane Vance, ND
• Helena Vaughan, LICSW
• Genesis Vergara, MA
• Kate Verhamme, LICSW

• Psychiatric/Mental Health Clinical Nurse Specialist in Belmont, MA
• Providers in Belmont, MA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.