Mary Patricia Dorenkamp-Reese, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

UP005726B Issued in PA

Practice address

2110 Harrisburg Pike
Suite 302
Lancaster, PA 17604

Phone

(717) 544-3364

Fax

(717) 544-3365

NPI assigned

Oct 2, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1093808016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 302",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3364",
            "fax_number": "717-544-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "SUITE 302",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3364",
            "fax_number": "717-544-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORENKAMP-REESE",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP005726B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012737020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Donnelly, MD
• Andrea Gail Dooley-Wood, PHARM.D.
• Allison M. Dooley, DPT
• Kelsie Dooley
• Sai Doppalapudi, MD
• Steven Nolan Dorf, D.O.
• Paul R Dorgan, MA, MPSY
• Doris-Biller Dorsey, Inc.
• Leo George Dorozynsky
• Bryan A Dorsey, CRNP

• All providers in Lancaster, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.