Danielle Annette Dufresne, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26930 Issued in NE

Practice address

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Phone

(850) 881-3190

NPI assigned

Jun 28, 2011

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1679869713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Boatner Road",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "32542",
            "country_code": "US",
            "telephone_number": "850-883-8288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Boatner Road",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "32542",
            "country_code": "US",
            "telephone_number": "850-883-8288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Tuskegee Blvd",
            "address_purpose": "LOCATION",
            "city": "Dover AFB",
            "state": "DE",
            "postal_code": "19902",
            "country_code": "US",
            "telephone_number": "302-677-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "DANIELLE",
        "middle_name": "ANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Donovan, IDMT/NREMT-P
• Melissa Ja-Ok Dooley, MD
• Jason Robert Douville, IDMT
• Jill S Dowd
• Michelle K Du Lac, IDMT
• Jennifer Lynn Echler, LCSW, LISW-S
• Matthew David Edgar, DO
• Alexandra Edwards
• Beverly Eichman, PA
• Reth El, IDMT

• Family Medicine Physician in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.