Individual provider Active NPI

Dana Bour, R.N.

  • Registered Nurse
  • Athens, GA
National Provider Identifier
1457712960
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN105487 Issued in GA
Practice address
8801 Macon Hwy
Suite 2
Athens, GA 30606-5201
Phone
(706) 559-0059
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN105487 GA Primary

Addresses

Primary practice location

8801 Macon Hwy
Suite 2
Athens, GA 30606-5201

Mailing address

8801 Macon Hwy
Suite 2
Athens, GA 30606-5201
Phone (706) 559-0059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN105487GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Addiction Recovery Center, L.L.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1457712960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 MACON HWY",
            "address_2": "SUITE 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065201",
            "telephone_number": "706-559-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 MACON HWY",
            "address_2": "SUITE 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065201",
            "telephone_number": "706-559-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUR",
        "first_name": "DANA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN105487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.