Individual provider Active NPI

Dawn Ferry

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1356722763
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000840 Issued in DE
Practice address
220 Continental Dr Ste 101
Newark, DE 19713-4304
Phone
(302) 294-9772
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000840 DE Primary
Family Nurse Practitioner 363LF0000X R216178 MD

Addresses

Primary practice location

220 Continental Dr Ste 101
Newark, DE 19713-4304

Mailing address

509 Pennock Ave
Kennett Square, PA 19348-1813
Phone (484) 645-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020003011 DE Practitioner - Nurse Practitioner 8325357049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000840DEMDFamily Nurse Practitioner
R216178MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Delaware, P.a CurrentSince Aug 9, 2015 Accepting new patients
Seasons Hospice & Palliative Care of Delaware, LLC Past Accepting new patients
Seasons Hospice & Palliative Care of Pennsylvania, LLC PastSince Jul 6, 2019 Accepting new patients

Locations

220 Continental Dr
Ste 101
Newark, DE 19713
Phone (302) 294-9772

220 Continental Dr
Ste 407
Newark, DE 19713
Phone (302) 533-3800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1356722763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PENNOCK AVE",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481813",
            "telephone_number": "484-645-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CONTINENTAL DR STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134304",
            "telephone_number": "302-294-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000840",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.