Individual provider Active NPI

Dannell Durocher, LVN

  • Licensed Vocational Nurse
  • Pasadena, TX
National Provider Identifier
1659695294
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
221031 Issued in TX
Practice address
4141 Vista Rd
Pasadena, TX 77504-2113
Phone
(713) 947-3100
Fax
(713) 947-6103
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 221031 TX Primary

Addresses

Primary practice location

4141 Vista Rd
Pasadena, TX 77504-2113

Mailing address

4141 Vista Rd
Pasadena, TX 77504-2113
Phone (713) 947-3100

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
221031TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1659695294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100",
            "fax_number": "713-947-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100",
            "fax_number": "713-947-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "DANNELL",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "221031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.