Individual provider Active NPI

Dawn Michelle Downs, MSN, FNP-BC, RN, CCR

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1043720006
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007287 Issued in CA
Practice address
18592 Cajon Blvd
San Bernardino, CA 92407-1604
Phone
(951) 283-9861
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007287 CA Primary

Addresses

Primary practice location

18592 Cajon Blvd
San Bernardino, CA 92407-1604

Mailing address

18592 Cajon Blvd
San Bernardino, CA 92407-1604
Phone (951) 283-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130003131 CA Practitioner - Nurse Practitioner 5799082327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95007287CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symons Emergency Specialties, Inc. PastSince Dec 11, 2019 Accepting new patients
Dibiassi Corp. PastSince Feb 11, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1043720006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18592 CAJON BLVD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071604",
            "telephone_number": "951-283-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18592 CAJON BLVD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071604",
            "telephone_number": "951-283-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC, RN, CCR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.