Individual provider Active NPI

Debra L Van Toor, NP

  • Family Nurse Practitioner
  • Dover, TN
National Provider Identifier
1992454995
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31195 Issued in TN
Practice address
537 Spring St
Dover, TN 37058-3232
Phone
(931) 232-6902
NPI assigned
Mar 18, 2022
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31195 TN Primary

Addresses

Primary practice location

537 Spring St
Dover, TN 37058-3232

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

441 Needmore Rd Apt 716
Clarksville, TN 37040-6119
Phone (931) 278-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230320002558 TN Practitioner - Nurse Practitioner 7113391897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31195TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care Services LLC Family CurrentSince Oct 3, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Feb 9, 2023 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Feb 9, 2023 Accepting new patients
Exceptional Care Services LLC Past Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (502) 802-8291

537 Spring St
Dover, TN 37058
Phone (502) 338-8884

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035

902 Buchanan Rd
New Tazewell, TN 37825
Phone (423) 626-7297

200 Mayfield Dr
Smyrna, TN 37167
Phone (615) 276-4825

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.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1992454995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583232",
            "telephone_number": "931-232-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Needmore Rd Apt 716",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406119",
            "country_code": "US",
            "telephone_number": "931-278-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TOOR",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, TN

Sources for this page

Verify at the official NPI Registry.