Individual provider Active NPI

Circe Douge

  • Licensed Practical Nurse
  • Spring Valley, NY
National Provider Identifier
1619419975
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
326580-1 Issued in NY
Practice address
105 S Central Ave
Apt1F
Spring Valley, NY 10977-5929
Phone
(845) 200-8777
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326580-1 NY Primary

Addresses

Primary practice location

105 S Central Ave
Apt1F
Spring Valley, NY 10977-5929

Mailing address

105 S Central Ave
Apt1F
Spring Valley, NY 10977-5929
Phone (845) 200-8777

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326580-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1619419975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S CENTRAL AVE",
            "address_2": "APT1F",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775929",
            "telephone_number": "845-200-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S CENTRAL AVE",
            "address_2": "APT1F",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775929",
            "telephone_number": "845-200-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGE",
        "first_name": "CIRCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "326580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.