Active NPI
D E Noble, MD PA
- Nephrology Physician
- Stuart, FL
National Provider Identifier
1609829407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 22477
- Practice address
- 509 SE Riverside Dr
202
Stuart, FL 34994-2579 - Phone
- (772) 287-9177
- Fax
- (772) 223-9823
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 22477 | FL | Primary |
Addresses
Primary practice location
509 SE Riverside Dr
202
Stuart, FL 34994-2579
Mailing address
509 SE Riverside Dr
202
Stuart, FL 34994-2579
Phone (772) 287-9177
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)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22477 | FL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1609829407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 SE RIVERSIDE DR",
"address_2": "202",
"city": "STUART",
"state": "FL",
"postal_code": "349942579",
"telephone_number": "772-287-9177",
"fax_number": "772-223-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 SE RIVERSIDE DR",
"address_2": "202",
"city": "STUART",
"state": "FL",
"postal_code": "349942579",
"telephone_number": "772-287-9177",
"fax_number": "772-223-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "D",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "22477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.