Maureen Rita Doran

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

1518591 Issued in NY

Practice address

5 Brian Ave
Holtsville, NY 11742-1004

Phone

(631) 846-3347

NPI assigned

Jul 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Maureen Rita Doran Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1124227665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRIAN AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421004",
            "telephone_number": "631-846-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRIAN AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421004",
            "telephone_number": "631-846-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MAUREEN",
        "middle_name": "RITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "1518591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02755700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1518591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "DORAN",
            "middle_name": "RITA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynda Darling, LPN
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• Christopher Dellaratta
• Megan Dibenedetto
• Tara Dilan
• Dr. Jessica Cannone Psychological Services
• Ryan James Duffy, ATC
• James Lamar Durand, LCSW-R
• Erika Duryea, LPN
• Dynamic Therapies LLC

• Licensed Practical Nurse in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.