Individual provider Active NPI

Christine Lorraine Doyle, ARNP, CPNP

  • Pediatric Nurse Practitioner
  • Oskaloosa, IA
National Provider Identifier
1073592432
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C-068696 Issued in IA
Practice address
1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202
Phone
(641) 673-7537
Fax
(641) 673-5235
NPI assigned
Jan 13, 2006
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C-068696 IA Primary

Addresses

Primary practice location

1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202

Mailing address

1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202
Phone (641) 673-7537

Other identifiers 2

IdentifierTypeStateIssuer
03077OtherIAWELLMARK
3419721MedicaidIA

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-068696IAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1073592432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774202",
            "telephone_number": "641-673-7537",
            "fax_number": "641-673-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774202",
            "telephone_number": "641-673-7537",
            "fax_number": "641-673-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CHRISTINE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-068696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "03077",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419721",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.