Active NPI
Dauphne Sims
- Clinical Nurse Specialist
- Rockford, IL
National Provider Identifier
1093109043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 209006065
- Practice address
- 2222 E State St
Suite 209
Rockford, IL 61104-1573 - Phone
- (815) 988-8500
- Fax
- (815) 977-5956
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 209006065 | IL | Primary |
Addresses
Primary practice location
2222 E State St
Suite 209
Rockford, IL 61104-1573
Mailing address
2222 E State St
Suite 209
Rockford, IL 61104-1573
Phone (815) 988-8500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006065 | IL | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1093109043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 E STATE ST",
"address_2": "SUITE 209",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611041573",
"telephone_number": "815-988-8500",
"fax_number": "815-977-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E STATE ST",
"address_2": "SUITE 209",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611041573",
"telephone_number": "815-988-8500",
"fax_number": "815-977-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "DAUPHNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209006065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.