Individual provider Active NPI

Christina Nichole Debaca, BSN, RN

  • School Registered Nurse
  • Alliance, NE
National Provider Identifier
1982186953
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
67832 Issued in NE
Practice address
1604 Sweetwater Ave
Alliance, NE 69301-2672
Phone
(308) 762-5475
Fax
(308) 762-8249
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 67832 NE Primary

Addresses

Primary practice location

1604 Sweetwater Ave
Alliance, NE 69301-2672

Mailing address

1604 Sweetwater Ave
Alliance, NE 69301-2672
Phone (308) 762-5475

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
67832NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Public Schools PastSince Dec 24, 2023 Accepting new patients

Organizations & group practices 1

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1982186953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SWEETWATER AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012672",
            "telephone_number": "308-762-5475",
            "fax_number": "308-762-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SWEETWATER AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012672",
            "telephone_number": "308-762-5475",
            "fax_number": "308-762-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBACA",
        "first_name": "CHRISTINA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "67832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.