Carole Annette Dolehanty, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.007547 Issued in IL

Practice address

612 35TH Ave Ste 1
Moline, IL 61265

Phone

(309) 788-0014

Fax

(309) 623-4638

NPI assigned

Sep 4, 2009

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1639302862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 24th St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015357",
            "country_code": "US",
            "telephone_number": "309-788-0014",
            "fax_number": "309-793-3092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEHANTY",
        "first_name": "CAROLE",
        "middle_name": "ANNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-119620",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna Poesch M.D.S.C
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• Jeffery Scott Doroba, D.M.D
• Lori Beth Doroba, D.M.D.
• Al R Doyle, MD

• Family Nurse Practitioner in Moline, IL
• Providers in Moline, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.