Nicki Dotson

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

24017411 Issued in IN

Practice address

4609 Grape Rd
Mishawaka, IN 46545-2649

Phone

(574) 220-7885

Fax

(317) 967-2229

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mae's Care and Comfort Angels LLC

  • Home Health Agency
  • Mishawaka, IN
  • NPI 1306647086
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1023834009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 GRAPE RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452649",
            "telephone_number": "574-220-7885",
            "fax_number": "317-967-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 GRAPE RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452649",
            "telephone_number": "574-220-7885",
            "fax_number": "317-967-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "NICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "24017411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolce Vita Community Services LLC
• Laura Alana Singer Dolezal
• Donald Michael, MD, PC
• Joseph Doran, LSW
• Alyssa K Dosmann, MNT
• Jahlea Douglas, LMHCA
• Melissa Anne Douthit, NP-C
• Ronald K Downs, M.D., F.A.C.S.
• Jessica Dozier, LCSW
• DPM Sync LLC

• Home Health Aide in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.