Mary C Dugan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

092099 Issued in MO

Practice address

9784 N Ash Avenue
Kansas City, MO 64157

Phone

(816) 781-4244

Fax

(816) 781-3542

NPI assigned

Mar 14, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• La Clinica Medica Latina of Des Moines LLC

  • Nurse Practitioner
  • Des Moines, IA
  • NPI 1306965348
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1043343346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S LA FRENZ RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688352",
            "telephone_number": "816-781-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVENUE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64157",
            "telephone_number": "816-781-4244",
            "fax_number": "816-781-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "092099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA ADVANCED NURSING LICENSE",
            "identifier": "110171",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Kay Duffy, M.S., CCC-SLP
• Dylan Dufour, DDS
• David L Dugan, MD
• David W Dugan, D.O.
• James William Dugan, PH.D.
• Eileen Duggan, MD
• Carmen Renee Duitsman, APRN
• Duke Chiropractic
• Christopher Thomas Duke, D.C.
• Thomas C Duke, DC

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.