Amy Dubuque, NP

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

License

U1402253 Issued in UT

Practice address

10 S 2000 E
Salt Lake City, UT 84112-5880

Phone

(207) 749-2608

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1437999554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052523",
            "telephone_number": "207-749-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 2000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125880",
            "telephone_number": "207-749-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBUQUE",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "UT",
            "license": "U1402253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew G. Dubina, MD
• Trevor Miles Dubock
• Tawnee Dubose
• Jason Dubroff, MD
• Paige Victoria Dubrow, PSYCHOLOGIST
• Jack A. Dubuque, MD
• Catherine Susanne Duchene, CMHC
• Lisa Duckworth
• McAuley Duda, FDN, CNP, NUTRITIONI
• Clara A. Dudack, PTA

• Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.