Active NPI
Erica Dueitt, NP-C
- Nurse Practitioner
- Mobile, AL
National Provider Identifier
1669911798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- PENDING
- Practice address
- 600 Providence Park Dr E
Mobile, AL 36695-4616 - Phone
- (251) 634-1544
- Fax
- (251) 634-0235
- NPI assigned
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | PENDING | AL | Primary |
Addresses
Primary practice location
600 Providence Park Dr E
Mobile, AL 36695-4616
Mailing address
600 Providence Park Dr E
Mobile, AL 36695-4616
Phone (251) 634-1544
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1669911798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PROVIDENCE PARK DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954616",
"telephone_number": "251-634-1544",
"fax_number": "251-634-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PROVIDENCE PARK DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954616",
"telephone_number": "251-634-1544",
"fax_number": "251-634-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUEITT",
"first_name": "ERICA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.