Active NPI
Darlene Ann Doute, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Novi, MI
National Provider Identifier
1396852265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704126904
- Practice address
- 41100 Fox Run
Novi, MI 48377-4804 - Phone
- (248) 668-8650
- Fax
- (248) 668-8651
- NPI assigned
- Aug 24, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704126904 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704126904 | MI | Primary |
Addresses
Primary practice location
41100 Fox Run
Novi, MI 48377-4804
Mailing address
5525 Research Park Drive
4TH Floor
Baltimore, MD 21228-4664
Phone (248) 668-8650
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396852265 | Medicaid | MI | |
| 8305187 | Other | EVERCARE | |
| 5008663690 | Other | BCBS OF MI |
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)
- Enrolled
Interoperability endpoints
- ddoute332459@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1396852265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DRIVE",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284664",
"telephone_number": "248-668-8650",
"fax_number": "248-668-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41100 FOX RUN",
"city": "NOVI",
"state": "MI",
"postal_code": "483774804",
"telephone_number": "248-668-8650",
"fax_number": "248-668-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUTE",
"first_name": "DARLENE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "APRN, BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704126904",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704126904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396852265",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "8305187",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "5008663690",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.