Antoinette Denise Duckett, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1492341222 Issued in CA

Practice address

37049 33Rd St E
Palmdale, CA 93550-6649

Phone

(818) 836-8871

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1003515305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37049 33RD ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506649",
            "telephone_number": "818-836-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37049 33RD ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506649",
            "telephone_number": "818-836-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "ANTOINETTE",
        "middle_name": "DENISE",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1492341222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Dreisen, CPNP
• Alyssa Dawn Du Boise
• Katherine Xiomara Duarte
• Laura Staphany Duarte, MS, APCC
• Monica Vanessa Duarte
• Laisner Duclos, NP
• Sarah Duffee
• Denise D Duncan, FNP-C
• Paul L Dunlap Jr.
• Khamiliah Dunmeyer

• Addiction (Substance Use Disorder) Counselor in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.