Individual provider Active NPI

Doreen Efeti Effange

  • Health Educator
  • Damascus, MD
National Provider Identifier
1275219040
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
25400 Damascus Park Ter
Damascus, MD 20872
Phone
(240) 472-7044
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

25400 Damascus Park Ter
Damascus, MD 20872

Mailing address

25400 Damascus Park Ter
Damascus, MD 20872
Phone (240) 472-7044

Other names 1

  • Dr. Doreen Efeti Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1275219040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 DAMASCUS PARK TER",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "20872",
            "telephone_number": "240-472-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 DAMASCUS PARK TER",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "20872",
            "telephone_number": "240-472-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFANGE",
        "first_name": "DOREEN",
        "middle_name": "EFETI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "EFETI",
            "prefix": "DR.",
            "credential": "DHSC, MPH, MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.