Demri Taylor Dawn Doyle, CO61253745

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61253745 Issued in WA

Practice address

5700 172ND St NE Ste B
Arlington, WA 98223-7742

Phone

(360) 435-3985

Fax

(360) 435-7941

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: demri.doyle.p1@direct.stillaguamish.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillaguamish Tribe of Indians

  • Community/Behavioral Health Agency
  • Arlington, WA
  • NPI 1508919168
  NPD
• Stillaguamish Tribal Health Clinic

  • General Practice Physician
  • Arlington, WA
  • NPI 1164451142
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1104576180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 58TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706944",
            "telephone_number": "360-631-5893",
            "fax_number": "360-435-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 172ND ST NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237742",
            "telephone_number": "360-435-3985",
            "fax_number": "360-435-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "DEMRI",
        "middle_name": "TAYLOR DAWN",
        "credential": "CO61253745",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "C061253745",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61253745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddoyle@stillaguamish.com",
            "affiliation": "Y",
            "endpointDescription": "Work email address",
            "affiliationName": "Stillaguamish Tribe of Indians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5700 172nd St NE Ste B",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982237742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Dorsey, LMP
• Karen K. Dorsing, R.D.
• Daniil Dovgopolyy
• April Dowden, LMP
• Kirstie Dowrey
• Robert Juan Joseph Dragotti, D.O.
• Drew F. Scheele, MD
• Stephen Alan Dulaney, M.A.
• Crystal Dumas, MS, ALC
• Susan Anne Dunlap, RN

• Addiction (Substance Use Disorder) Counselor in Arlington, WA
• Providers in Arlington, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.