Individual provider Active NPI

Dorothy Behrns, F.N.P.

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1063497667
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209000823 Issued in IL
Practice address
1106 N Merchant St
Effingham, IL 62401-2128
Phone
(217) 342-7000
NPI assigned
Dec 7, 2005
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 209000823 IL Primary

Addresses

Primary practice location

1106 N Merchant St
Effingham, IL 62401-2128

Mailing address

PO Box 665
Effingham, IL 62401-0665
Phone (217) 342-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dorothy.behrns@familycare.eclinicaldirectplus.com Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
209000823ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third PastSince Nov 1, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1063497667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010665",
            "telephone_number": "217-342-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MERCHANT ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012128",
            "telephone_number": "217-342-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRNS",
        "first_name": "DOROTHY",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209000823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dorothy.behrns@familycare.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "use this address for Dot Behrns, FNP Family Care Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1106 N Merchant St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.