Provider Demographics
NPI:1881702454
Name:ASHINHURST, DEBORAH G
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:G
Last Name:ASHINHURST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:G
Other - Last Name:STOCKTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3066 SW GRANDSTAND CIR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-3866
Mailing Address - Country:US
Mailing Address - Phone:816-607-9666
Mailing Address - Fax:816-447-3932
Practice Address - Street 1:608 MISSOURI ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:MO
Practice Address - Zip Code:64096-8241
Practice Address - Country:US
Practice Address - Phone:660-493-2262
Practice Address - Fax:660-493-2796
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO109104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO595956103Medicaid
MO595956202Medicaid
MO595985805Medicaid
MO540568508Medicaid
MO010568509Medicaid
MO599225901Medicaid
MO595956400Medicaid
MO595956202Medicaid
MO010568509Medicaid
268549Medicare Oscar/Certification
P00745235Medicare PIN
MO595956400Medicaid
MO599225901Medicaid
MO540568508Medicaid
268578Medicare Oscar/Certification
MOP48394Medicare UPIN
268551Medicare Oscar/Certification
P270000Medicare PIN