Pauline Destine, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17196NP Issued in OH

Practice address

5150 E Main St
105
Whitehall, OH 43213-2441

Phone

(614) 328-5555

Fax

(800) 438-2166

NPI assigned

Apr 4, 2015

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Urgent Care LLCGroup PAC ID 1254565302, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Chillicothe, OH
  • NPI 1598107526
  Medicare reassignment Care Compare group NPD
• Family Urgent Care LLC

  • Urgent Care Clinic/Center
  • Circleville, OH
  • NPI 1235588823
  NPD

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428105600000",
    "number": "1548655699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DELAWARE DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011861",
            "telephone_number": "740-703-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST",
            "address_2": "105",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-328-5555",
            "fax_number": "800-438-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTINE",
        "first_name": "PAULINE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-04",
        "last_updated": "2015-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17196NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Lynn Deforrest
• Alexis Dejarnette, MSW
• Vanessa Mariah Delmindo-Moore, LICDC-CS
• Deluxe Health Care Services
• Janet Denney
• Gayle Diehl, LICDC-CS
• Samuel Dimas Teo
• Carol Dimoff
• Shelby Dinkledine, LPC
• Directcare Support Professionals of Ohio, LLC

• Family Nurse Practitioner in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.