Erin Patricia Donovan, RNCPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

086177 Issued in MO

Practice address

35 Goodwin Dr
Festus, MO 63028-4122

Phone

(636) 933-4141

Fax

(636) 931-7007

NPI assigned

Dec 14, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ccpartners LLC

  • Pediatric Adolescent Medicine Physician
  • Festus, MO
  • NPI 1487857033
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1457336166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ERIN",
        "middle_name": "PATRICIA",
        "credential": "RNCPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "086177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425723202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doering Prescriptions Inc
• Dale E Doerr, M.D.
• Kelly Doerr
• Lindsay Doerrer
• Chandra B. Dommaraju, M.D.
• Rajen H Doshi, MD
• Kelly Jill Dougherty, MD
• Marzena R Dowd, MSW, LCSW
• Zachary W Dowdy, DPT
• Dr. Gregory J. Pernoud, D.D.S., P.C.

• Pediatric Nurse Practitioner in Festus, MO
• Providers in Festus, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.