Doreatha Jackson Fields, ED.D

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1409 Hoag Ave
Melbourne, FL 32901-7311

Phone

(321) 821-7477

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Doreatha J Fields Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1528565116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAMMOCK RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098848",
            "telephone_number": "321-543-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HOAG AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017311",
            "telephone_number": "321-821-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "DOREATHA",
        "middle_name": "JACKSON",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREATHA",
            "last_name": "FIELDS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "ED.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Ferrigno
• James Michael Ferro, PSYD
• Antoinette Barre Ferry, ARNP
• Camryn Fetzer
• Brooke C Fields, RBT
• Thomas D Fields, MD
• Adam Ryan Fier, DO
• Brenda Lis Figueras, M.D.
• Nancy Figulski, PT
• Katie Fillion, M.D.

• Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.