Active NPI
Shirley Renia Dukes, MA
- School Counselor
- Kotzebue, AK
National Provider Identifier
1639631427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 4093754
- Practice address
- 733 2ND Avenue
Kotzebue, AK 99752 - Phone
- (907) 442-7640
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 4093754 | AK | Primary |
Addresses
Primary practice location
733 2ND Avenue
Kotzebue, AK 99752
Mailing address
PO Box 256
Kotzebue, AK 99752-0256
Phone (907) 442-7640
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4093754 | AK | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1639631427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520256",
"telephone_number": "907-442-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 2ND AVENUE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "99752",
"telephone_number": "907-442-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "SHIRLEY",
"middle_name": "RENIA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AK",
"license": "4093754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.