Active NPI
Felicia Dortch
- Registered Nurse
- Fulton, MD
National Provider Identifier
1043651938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R146742
- Practice address
- 11820 Scaggsville Rd
Fulton, MD 20759-2212 - Phone
- (443) 545-9708
- NPI assigned
- Jul 9, 2013
- Last updated
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R146742 | MD | Primary |
Addresses
Primary practice location
11820 Scaggsville Rd
Fulton, MD 20759-2212
Mailing address
11820 Scaggsville Rd
Fulton, MD 20759-2212
Phone (443) 545-9708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R146742 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1043651938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 SCAGGSVILLE RD",
"city": "FULTON",
"state": "MD",
"postal_code": "207592212",
"telephone_number": "443-545-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 SCAGGSVILLE RD",
"city": "FULTON",
"state": "MD",
"postal_code": "207592212",
"telephone_number": "443-545-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORTCH",
"first_name": "FELICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R146742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MD
- Megan Dekowski
- Dana Diehl
- Carine Djiki
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- Christ Doda
- Drayer Physical Therapy of Maryland LLC
- DRS Ely and Cohen Optometry of Maple Lawn LLC (Maple Lawn Eye Care Center)
- DRS Ely and Cohen Optometry of Maple Lawn LLC (Maple Lawn Eye Care Center)
- Easy Health Medical Solutions PC
- Cody Eccard, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.