Dottie Needham, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000732 Issued in CT

Practice address

789 Howard Ave
New Haven, CT 06519-1304

Phone

(203) 688-2461

NPI assigned

May 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dottie Dittner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1417114513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PEPPERWOOD CT",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432401",
            "telephone_number": "203-245-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191304",
            "telephone_number": "203-688-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "DOTTIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOTTIE",
            "last_name": "DITTNER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marilyn Samuel Ndukwe, MD
• Lauren Neal, MD
• Alec Neale, PHD
• Samantha Nebiolo
• Linda M Nedell, PA
• J. Christian Neeley, D.D.S.
• Eitan Menachem Neeman, M.D.
• Patricia Neeson, RN
• Christine Negro, OTR
• Cynthia Negron, MD

• Pediatric Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.