FREDERICK JOSEPH DEBEN JR. (NPI# 1790827335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790827335 |
| Entity Type | Individual |
| Full Name | FREDERICK JOSEPH DEBEN JR. |
| Credential | NP |
| Practice Address |
422 Memorial Blvd Picayune MS 39466 |
| Practice Telephone | 6017982151 |
| Mailing Telephone | 2283246406 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R768485 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01930561 | 05 |
| Street Address |
422 MEMORIAL BLVD |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780723502 | Picayune Urgent Care Clinic, LLC | Clinic/Center | 422 Memorial Blvd, Picayune, MS 39466-5544 | 2007-02-06 |
| 1972771806 | Picayune Family Practice Clinic, LLC | Clinic/Center | 422 Memorial Blvd, Picayune, MS 39466-5544 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363428 | Kathy Hegwood | Nurse Practitioner | 5009 Angler Dr, Picayune, MS 39466-2152 | 2020-07-15 |
| 1184161457 | Christie Kellar | Nurse Practitioner | 2322 Highway 43 S Ste C, Picayune, MS 39466-7325 | 2017-01-25 |
| 1285176271 | Aimee Mayfield | Nurse Practitioner | 801 Williams Ave, Picayune, MS 39466-3956 | 2016-11-08 |
| 1376713313 | Gina Ferro Rivero | Nurse Practitioner | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5575 | 2008-03-05 |
| 1285705822 | Reta Virginia Lumpkin | Nurse Practitioner | 3300 Highway 11 North Suite C, Picayune, MS 39466 | 2006-11-13 |
| 1053494740 | Aurora B. King | Nurse Practitioner | 120 Sreet A, Suite A, Picayune, MS 39466-5466 | 2006-10-24 |
| 1245348689 | Nanci W Parish | Nurse Practitioner | 1702 A Hwy 11 North, Picayune, MS 39466-0419 | 2006-08-27 |
| 1346249570 | Mary Catherine Hess | Nurse Practitioner | 1839 Cooper Rd Ste 100, Picayune, MS 39466-2835 | 2005-07-19 |
| 1184230765 | Bayou Kat Consultants, LLC | Nurse Practitioner | 5009 Angler Dr, Picayune, MS 39466-2152 | 2020-09-19 |
| 1437782232 | Tyesa Hawkins | Nurse Practitioner | 120 Street A, Picayune, MS 39466-5466 | 2020-02-20 |
| Find all providers in PICAYUNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.