Mary Doupe, RN

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

License

4704276902 Issued in MI

Practice address

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Phone

(734) 222-8640

NPI assigned

Apr 27, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1245928266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 NEWFOUND GAP",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147643",
            "telephone_number": "517-672-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-222-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUPE",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "MI",
            "license": "4704276902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Douglas, AGACNP-DNP
• Brittany Nichole Douglas, PA-C
• Cynthia Douglas
• Danielle Brianna-Douthat Douglas, CNM, FNP-BC
• Lorre Douglas
• Nicholas Joseph Douville, MD
• Liselle Douyon, MD
• Ashley Dove
• Robyn Dover, LMSW
• Matthew Dow, RN, PMHNP

• Cardiac Rehabilitation Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Cardiac Rehabilitation Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.