Geraldine Dorris, A.R.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN3344802 Issued in FL

Practice address

2180 Immokalee Rd
Suite 216
Naples, FL 34110-1421

Phone

(239) 287-1493

Fax

(239) 244-9357

NPI assigned

May 9, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1043269632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 216",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-287-1493",
            "fax_number": "239-244-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 216",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-287-1493",
            "fax_number": "239-244-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "GERALDINE",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN3344802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302889500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00066423",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Jaye Donovan
• Kali Dore
• Benithe Liberice Dorestin
• Paul Jasan Dorio, M.D.
• Jean Daniel Dornevil, DPT
• Pieter Doubell, RPH
• Douglas B. Paone, M.D., P.a.
• Oxana V Douglas, M.D.
• Donna W Douglass, PT
• Jon S Dounchis, MD

• Psychiatric/Mental Health Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.