Individual provider Active NPI

Ione Dornelles Lopes, LPN

  • Licensed Practical Nurse
  • Fairhaven, MA
National Provider Identifier
1629229919
Registry record updated Oct 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
52107 Issued in MA
Practice address
41 Brown St
Fairhaven, MA 02719-4340
Phone
(774) 202-1898
Fax
(774) 202-1898
NPI assigned
Oct 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2008

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 52107 MA Primary

Addresses

Primary practice location

41 Brown St
Fairhaven, MA 02719-4340

Mailing address

41 Brown St
Fairhaven, MA 02719-4340
Phone (774) 202-1898

Other names 1

  • Miss Ione Dornelles Da Paixao Former name

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
52107MAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223078400000",
    "number": "1629229919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BROWN ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194340",
            "telephone_number": "774-202-1898",
            "fax_number": "774-202-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BROWN ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194340",
            "telephone_number": "774-202-1898",
            "fax_number": "774-202-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES",
        "first_name": "IONE",
        "middle_name": "DORNELLES",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2008-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "52107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IONE",
            "last_name": "DA PAIXAO",
            "middle_name": "DORNELLES",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2008; 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.