Dorothea U Diciro, APN, CS

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Practice address

1200 N East St
Olney, IL 62450-2499

Phone

(618) 395-5222

Fax

(618) 395-8552

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Dorothea U Schafer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649384686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICIRO",
        "first_name": "DOROTHEA",
        "middle_name": "U",
        "name_prefix": "Mrs.",
        "credential": "APN, CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "180726",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "068530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHEA",
            "last_name": "SCHAFER",
            "middle_name": "U",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Niranat Dejtiranukul, M.D.
• Clark Edward Deshon, O.D., F.A.A.O
• Danielle Renee Deters, PHARMD
• Developmental Specialists of Southeastern Il, Inc.
• Luis C Devenecia Jr., MD
• Lydia Dickey, BS
• Dishong Chiropractic Clinic PC
• Jerald O Dishong, DC
• Don Edward Abel DDS PC
• Donita Schrey PLLC

• Adult Health Nurse Practitioner in Olney, IL
• Providers in Olney, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.