Donna Marie Irish, APRN-BC, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN 152510 Issued in MO

Practice address

1965 S Fremont Ave
Suite 300
Springfield, MO 65804-2201

Phone

(417) 820-2936

Fax

(417) 820-7796

NPI assigned

Dec 18, 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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1063575330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5087 S CLAY AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102855",
            "telephone_number": "417-885-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE",
            "address_2": "SUITE 300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042201",
            "telephone_number": "417-820-2936",
            "fax_number": "417-820-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "APRN-BC, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "RN 152510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "431560263149",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN152510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Home Care, LLC
• Integrity Hospice of Southwest Missouri, Inc.
• Interlink Behavioral Services, P.C.
• Intrepid of Missouri, Inc.
• Melody Anne Ipock, PLPC
• Iron Bridge Diabetes & Endo
• Vanessa Lynne Irons, MA PLPC
• Sarah Grace Irwin, DNP
• Zachary Cole Irwin, DO
• Laura Isaacson, D.O.

• Gerontology Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.