Active NPI
Caroline Dorko, PNP
- Pediatric Nurse Practitioner
- Brookline, MA
National Provider Identifier
1306681234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2333735
- Practice address
- 25 Aspinwall Ave Apt 3
Brookline, MA 02446-6442 - Phone
- (571) 408-3892
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2333735 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2333735 | MA | Primary |
Addresses
Primary practice location
25 Aspinwall Ave Apt 3
Brookline, MA 02446-6442
Mailing address
25 Aspinwall Ave Apt 3
Brookline, MA 02446-6442
Phone (571) 408-3892
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2333735 | MA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1306681234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ASPINWALL AVE APT 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466442",
"telephone_number": "571-408-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ASPINWALL AVE APT 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466442",
"telephone_number": "571-408-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORKO",
"first_name": "CAROLINE",
"credential": "PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2333735",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2333735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.