Donna R Enderle, RNC, NNP, CPNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

533187 Issued in TX

Practice address

Baylor Hospital - 3 Hob
3500 Gaston Avenue
Dallas, TX 75248

Phone

(214) 820-2806

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1447213293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "NEONATOLOGY/3 HOB",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-965-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYLOR HOSPITAL - 3 HOB",
            "address_2": "3500 GASTON AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "214-820-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERLE",
        "first_name": "DONNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RNC, NNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "533187",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "533187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Neonatal Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Critical Care Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.