Individual provider Active NPI

Denise Michelle Dunklee, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Langley Afb, VA
National Provider Identifier
1306050430
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024166439 Issued in VA
Practice address
1St Medical Group
77 Nealy Drive
Langley Afb, VA 23665-3339
Phone
(757) 225-7630
Fax
(757) 764-6565
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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 0001195904 VA
Women's Health Nurse Practitioner 363LW0102X 0024166439 VA Primary

Addresses

Primary practice location

1St Medical Group
77 Nealy Drive
Langley Afb, VA 23665-3339

Mailing address

1St Medical Group
77 Nealy Drive
Langley Afb, VA 23665-3339
Phone (757) 225-7630

Other names 1

  • Denise Michelle Bessett Former 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

State licenses

LicenseStateTypeSpecialty
0024166439VAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1306050430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "77 NEALY DRIVE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236653339",
            "telephone_number": "757-225-7630",
            "fax_number": "757-764-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "77 NEALY DRIVE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236653339",
            "telephone_number": "757-225-7630",
            "fax_number": "757-764-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKLEE",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001195904",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024166439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "BESSETT",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Langley Afb, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.