Dorothy L. Duerfeldt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1172 Issued in NE

Practice address

512 North Green St
Valentine, NE 69201-1982

Phone

(402) 376-3770

Fax

(402) 376-3779

NPI assigned

Sep 11, 2006

Last updated

Jan 7, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1124122122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692010410",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NORTH GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011982",
            "telephone_number": "402-376-3770",
            "fax_number": "402-376-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERFELDT",
        "first_name": "DOROTHY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6827680",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "38637",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Valentine, NE
• Providers in Valentine, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.