Active NPI
Dorothea Joan Doolin, FNP
- Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1407095391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002737A
- Practice address
- 1121 S Indiana Ave
Crown Point, IN 46307-7205 - Phone
- (219) 663-2160
- Fax
- (219) 663-7658
- NPI assigned
- Feb 17, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002737A | IN | Primary |
Addresses
Primary practice location
1121 S Indiana Ave
Crown Point, IN 46307-7205
Mailing address
1121 S Indiana Ave
Crown Point, IN 46307-7205
Phone (219) 663-2160
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002737A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1407095391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 S INDIANA AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077205",
"telephone_number": "219-663-2160",
"fax_number": "219-663-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 S INDIANA AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077205",
"telephone_number": "219-663-2160",
"fax_number": "219-663-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLIN",
"first_name": "DOROTHEA",
"middle_name": "JOAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002737A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.