Individual provider Active NPI

Clarice Marie Douille

  • Student in an Organized Health Care Education/Training Program
  • Scottsdale, AZ
National Provider Identifier
1659174100
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7301 E 2ND St Ste 210
Scottsdale, AZ 85251-5620
Phone
(480) 534-4515
Fax
(480) 882-5885
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AZ Primary

Addresses

Primary practice location

7301 E 2ND St Ste 210
Scottsdale, AZ 85251-5620

Mailing address

7301 E 2ND St Ste 210
Scottsdale, AZ 85251-5620
Phone (480) 882-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625003617 AZ Order and Referring Only - Family PracticePractitioner - Family Practice 2163934977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1659174100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515620",
            "telephone_number": "480-882-5890",
            "fax_number": "480-882-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515620",
            "telephone_number": "480-534-4515",
            "fax_number": "480-882-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUILLE",
        "first_name": "CLARICE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.