Active NPI
Danielle Marlene Dupuis, MSN, FNP-C
- Nurse Practitioner
- Salem, OR
National Provider Identifier
1194108365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201505391NPPP
- Practice address
- 810 Commercial St SE
Salem, OR 97302 - Phone
- (503) 339-7689
- Fax
- (503) 339-7557
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201505391NPPP | OR | Primary |
Addresses
Primary practice location
810 Commercial St SE
Salem, OR 97302
Mailing address
810 Commercial St SE
Salem, OR 97302-4108
Phone (503) 339-7689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201505391NPPP | OR | MD | Nurse Practitioner |
Interoperability endpoints
- danielle.dupuis.1@15252.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1194108365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024108",
"telephone_number": "503-339-7689",
"fax_number": "503-339-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-339-7689",
"fax_number": "503-339-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "DANIELLE",
"middle_name": "MARLENE",
"name_prefix": "Ms.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201505391NPPP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.