Starlette Jessica Yehinou Dossou, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002443 Issued in IA

Practice address

800 Mercy Dr # 210
Council Bluffs, IA 51503-3128

Phone

(712) 329-5700

Fax

(712) 329-5759

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

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

Other names 1

• Starlette Jackson Yehinou Dossou Other name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment
• Tolosa OB GYN PC

  • Obstetrics & Gynecology Physician
  • Council Bluffs, IA
  • NPI 1790721603
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1447686944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 307",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-329-5700",
            "fax_number": "712-329-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR # 210",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-329-5700",
            "fax_number": "712-329-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSOU",
        "first_name": "STARLETTE",
        "middle_name": "JESSICA YEHINOU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1764",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STARLETTE",
            "last_name": "DOSSOU",
            "middle_name": "JACKSON YEHINOU",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Windy J Disalvo, LMSW, PLMHP (FOR NEB
• Anton Alexandre Diy, D.D.S.
• Linda Kay Dollen, MS, NCC, MHC
• Alyssa Dorhout, PHARMD
• Casie I Dorr, CNM
• Kara D Dostal, CRNA
• Rebecca Eileen Doty
• Walter Lee Doty IV, MS
• Jami Jo Dowell, NP
• Alyssa Drake

• Physician Assistant in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.