Alicia Duboise, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN064076 Issued in GA

Practice address

950 Dannon VW SW
Ste 3202
Atlanta, GA 30331-2160

Phone

(404) 346-3471

Fax

(404) 346-3473

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20141/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1013205939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 CLUB DR",
            "address_2": "STE 107",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961806",
            "telephone_number": "678-288-6550",
            "fax_number": "800-609-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANNON VW SW",
            "address_2": "STE 3202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312160",
            "telephone_number": "404-346-3471",
            "fax_number": "404-346-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOISE",
        "first_name": "ALICIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN064076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dubin
• Jordan Dubique, M.D.
• Wayne J. Dubner, DPM
• Jennifer Dubois, LMSW
• Merle D Dubois
• Traci Elmore Dubon, LMSW
• David Dewayne Dubose, PA
• Jasmine D Dubose
• Daniel William Dubovsky, MB CHB, FCP ( SA )
• Katelyn Dubroc, CNIM

• Licensed Practical Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.