Michael James Dodds, APNP, RN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2599-33 Issued in WI

Practice address

2419 Morse St
Janesville, WI 53545-0221

Phone

(608) 758-9300

Fax

(608) 758-9400

NPI assigned

May 8, 2007

Last updated

Mar 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1073726873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 MORSE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450221",
            "telephone_number": "608-758-9300",
            "fax_number": "608-758-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 MORSE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450221",
            "telephone_number": "608-758-9300",
            "fax_number": "608-758-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "APNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "2599-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew George Diab, MD
• Gregg Roy Dickinson, DDS
• Nicole A Disch, APRN, AGPCNP-BC
• Linda R Distefano, LCSW
• Jean Ann Dobson, RPH
• Hanna R Doerr, PA-C
• Nathan R Dombeck, PA-C
• Sierra Domino, APN
• Amber L Dongarra, RDH
• Dennis Francis Dooley, RPH

• Gerontology Nurse Practitioner in Janesville, WI
• Providers in Janesville, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.