Individual provider Active NPI

Eileen Doane, RN

  • Registered Nurse
  • Rockville, MD
National Provider Identifier
1225480106
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R166776 Issued in MD
Practice address
155 Gibbs St
Unit 419
Rockville, MD 20850-0353
Phone
(301) 461-1883
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R166776 MD Primary
Registered Nurse 163W00000X RN1039258 DC

Addresses

Primary practice location

155 Gibbs St
Unit 419
Rockville, MD 20850-0353

Mailing address

155 Gibbs St
Unit 419
Rockville, MD 20850-0353
Phone (301) 461-1883

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1039258DCMDRegistered Nurse
R166776MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellave, LLC PastSince Jun 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eileen.doane@crispdirect.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1225480106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GIBBS ST",
            "address_2": "UNIT 419",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500353",
            "telephone_number": "301-461-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GIBBS ST",
            "address_2": "UNIT 419",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500353",
            "telephone_number": "301-461-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "EILEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R166776",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1039258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.