Jimi Michelle Doty, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209005148 Issued in IL

Practice address

3001A Sixth Street
Naval Hospital Great Lakes
Great Lakes, IL 60088

Phone

(847) 688-6755

NPI assigned

Mar 23, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1528027935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 W HONEY CT",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734232",
            "telephone_number": "847-224-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001A SIXTH STREET",
            "address_2": "NAVAL HOSPITAL GREAT LAKES",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "JIMI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209005148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Phillip Demien, LMFT
• Irve Denenberg, OD
• Alexandre Derevianko
• Judy Ann Dixon, FNP
• Michael Shawn Donoghue, D.D.S.
• Adam Robert Dziedzic, P.A.-C
• Chris Ebert, IDC
• Alex Dale Ehrlich, D.D.S.
• Theresa Paola Everest, WHNP
• Allison Fedler

• Women's Health Nurse Practitioner in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.