Dolores Diane Duque

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

272086 Issued in CA

Practice address

4229 Toyan Dr
Diamond Springs, CA 95619-9702

Phone

(916) 642-7800

NPI assigned

Oct 7, 2022

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

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1467177832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 TOYAN DR",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199702",
            "telephone_number": "916-642-7800",
            "fax_number": "530-748-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 TOYAN DR",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199702",
            "telephone_number": "916-642-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "DOLORES",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "272086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Dillon
• Don B Louie
• Raina Dostart
• Salina Marie Drennan, CATC III
• Aimee Dunkel
• Brianna Eileen Durham
• Sharron Lesley Edgecombe
• Alison Ehlers, LMFT
• El Dorado County
• El Dorado County Mental Health

• Licensed Vocational Nurse in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.