Debra J Estep, LPN

Key facts

NPI

1972830693

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

PN118850 IV (OH)

Practice address

6557 State Route 516 NW
Dundee, OH 44624-8700

Phone

(330) 432-3643

Fax

(330) 343-0426

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Mrs. Debra J McQuaid Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2009.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1972830693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 STATE ROUTE 516 NW",
            "city": "DUNDEE",
            "state": "OH",
            "postal_code": "446248700",
            "telephone_number": "330-432-3643",
            "fax_number": "330-343-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 STATE ROUTE 516 NW",
            "city": "DUNDEE",
            "state": "OH",
            "postal_code": "446248700",
            "telephone_number": "330-432-3643",
            "fax_number": "330-343-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEP",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN118850 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MCQUAID",
            "middle_name": "J",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Dundee, OH · Licensed Practical Nurse in Ohio