DEBORAH MEDARI DNP-PMHNP NPI 1609693969

NPI Information

  • NPI: 1609693969
  • Provider Name: DEBORAH MEDARI, DNP-PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 860 LYNN ST
    LEBANON, MO
    ZIP 65536
  • Phone: (844) 853-8937

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NPI Details

Deborah Medari, DNP-PMHNP is a psychiatric/mental health nurse practitioner in Lebanon, MO. Deborah Medari, DNP-PMHNP NPI is 1609693969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

860 LYNN ST
LEBANON, MO
ZIP 65536-810
Phone: (844) 853-8937

The NPI 1609693969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2024 and was last updated on 9/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2013020764MISSOURINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health2024039002MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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