Individual provider Active NPI

Stephanie Latoria Dukes, RN

  • Registered Nurse
  • Memphis, TN
National Provider Identifier
1669214102
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
916942 Issued in MS
Practice address
3512 Meier Dr
Memphis, TN 38118-7243
Phone
(262) 497-0790
NPI assigned
Jun 6, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 916942 MS Primary
Administrator Registered Nurse 163WA2000X 4189 TN
Community Health Registered Nurse 163WC1500X 916942 MS
Cardiac Rehabilitation Registered Nurse 163WC3500X 161798 WI
Flight Registered Nurse 163WF0300X 161798 WI
Gerontology Registered Nurse 163WG0600X 916942 MS
Home Health Registered Nurse 163WH0200X 916942 MS
Medical-Surgical Registered Nurse 163WM0705X 161798 WI
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 916942 MS
Rehabilitation Registered Nurse 163WR0400X 916942 MS
Orthopedic Registered Nurse 163WX0800X 916942 MS

Addresses

Primary practice location

3512 Meier Dr
Memphis, TN 38118-7243

Mailing address

3512 Meier Dr
Memphis, TN 38118-7243
Phone (262) 497-0790

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
916942MSMDCommunity Health Registered Nurse
161798WIMDFlight Registered Nurse
4189TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1669214102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 MEIER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381187243",
            "telephone_number": "262-497-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 MEIER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381187243",
            "telephone_number": "262-497-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "STEPHANIE",
        "middle_name": "LATORIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "916942",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TN",
            "license": "4189",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MS",
            "license": "916942",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "WI",
            "license": "161798",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "WI",
            "license": "161798",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MS",
            "license": "916942",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MS",
            "license": "916942",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WI",
            "license": "161798",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MS",
            "license": "916942",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MS",
            "license": "916942",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "MS",
            "license": "916942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.