Active NPI
Debra Dolman
- Audiologist
- Saint Joseph, MO
National Provider Identifier
1396966677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 248
- Practice address
- 3620 Frederick Blvd
St Joseph, MO 64506 - Phone
- (816) 271-7577
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 248 | MO | Primary |
Addresses
Primary practice location
3620 Frederick Blvd
St Joseph, MO 64506
Mailing address
5401 S 3Rd St
Saint Joseph, MO 64504-1611
Phone (816) 271-7757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248 | Other | MO | MO AUDIOLOGIST # |
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 |
|---|---|---|---|
| 248 | MO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396966677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 S 3RD ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645041611",
"telephone_number": "816-271-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 FREDERICK BLVD",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "64506",
"telephone_number": "816-271-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLMAN",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO AUDIOLOGIST #",
"identifier": "248",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.