Individual provider Active NPI

Desirae Antwanette Dotson

  • Nurse's Aide
  • Lima, OH
National Provider Identifier
1174288930
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
311 E Market St FL 3
Lima, OH 45801-4535
Phone
(419) 222-4474
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

311 E Market St FL 3
Lima, OH 45801-4535

Mailing address

311 E Market St FL 3
Lima, OH 45801-4535
Phone (419) 222-4474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddotson@limaumadaop.com Direct Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherish Care Services Inc. Current Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc Multi-Specialty CurrentSince Nov 9, 2021 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

311 E Market St
Fl 3
Lima, OH 45801
Phone (419) 222-4474

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1174288930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "DESIRAE",
        "middle_name": "ANTWANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddotson@limaumadaop.com",
            "affiliation": "Y",
            "endpointDescription": "corporate email",
            "affiliationName": "Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "311 E Market St Fl 3",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458014535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.