Provider Demographics
NPI:1912982950
Name:SPRINGS, DEBBIE (RN)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:SPRINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10091 THOROUGHBRED LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2769
Mailing Address - Country:US
Mailing Address - Phone:513-300-9638
Mailing Address - Fax:
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-6173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1097068163W00000X
KY048911367500000X
OH03877367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
22874427000OtherBUREAU OF WORKERS COMP
000000537088OtherANTHEM
IN200877880Medicaid
KY74489113Medicaid
OH2069845Medicaid
228744270- 611077369OtherHEALTHNET
0094492Medicare PIN
22874427000OtherBUREAU OF WORKERS COMP