Active NPI
Konnie M. Doyle, NP-C
- Family Nurse Practitioner
- Warner Robins, GA
National Provider Identifier
1407128937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN110538
- Practice address
- 3001 Richard B Russell Pkwy
CVS Minute Clinic
Warner Robins, GA 31088-8657 - Phone
- (478) 953-0888
- NPI assigned
- Jan 30, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN110538 | GA | Primary |
Addresses
Primary practice location
3001 Richard B Russell Pkwy
CVS Minute Clinic
Warner Robins, GA 31088-8657
Mailing address
9 Willow Lake Dr
Warner Robins, GA 31093-8523
Phone (478) 971-4934
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN110538 | GA | MD | Family Nurse Practitioner |
Interoperability endpoints
- konnie.doyle.2@15130.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1407128937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WILLOW LAKE DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310938523",
"telephone_number": "478-971-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 RICHARD B RUSSELL PKWY",
"address_2": "CVS MINUTE CLINIC",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888657",
"telephone_number": "478-953-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "KONNIE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN110538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.