Individual provider Active NPI

Delores Helen Dusterhoft, RN (REGISTERED NURSE

  • Registered Nurse
  • Stanwood, WA
National Provider Identifier
1245665207
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00089514 Issued in WA
Practice address
7525 165TH St NW
Stanwood, WA 98292-6729
Phone
(360) 652-1778
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00089514 WA Primary

Addresses

Primary practice location

7525 165TH St NW
Stanwood, WA 98292-6729

Mailing address

7525 165TH St NW
Stanwood, WA 98292-6729
Phone (360) 652-1778

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
RN00089514WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1245665207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 165TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926729",
            "telephone_number": "360-652-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 165TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926729",
            "telephone_number": "360-652-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTERHOFT",
        "first_name": "DELORES",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "RN (REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00089514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.