Active NPI
Dorothy Renee Idris, RN
- Peritoneal Dialysis Registered Nurse
- Cincinnati, OH
National Provider Identifier
1689920936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peritoneal Dialysis Registered Nurse
- License
- RN284383
- Practice address
- 3285 Renfro Ave
Cincinnati, OH 45211-6624 - Phone
- (513) 546-8002
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | RT187022 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RN284383 | OH | |
| Case Management Registered Nurse | 163WC0400X | RN284383 | OH | |
| Continence Care Registered Nurse | 163WC2100X | RN284383 | OH | |
| Peritoneal Dialysis Registered Nurse | 163WD1100X | RN284383 | OH | Primary |
| Enterostomal Therapy Registered Nurse | 163WE0900X | RN284383 | OH | |
| General Practice Registered Nurse | 163WG0000X | RN284383 | OH | |
| Gastroenterology Registered Nurse | 163WG0100X | RN284383 | OH | |
| Gerontology Registered Nurse | 163WG0600X | RN284383 | OH | |
| Home Health Registered Nurse | 163WH0200X | RN284383 | OH | |
| Hospice Registered Nurse | 163WH1000X | RN284383 | OH | |
| Pain Management Registered Nurse | 163WP0000X | RN284383 | OH | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN284383 | OH | |
| Wound Care Registered Nurse | 163WW0000X | RN284383 | OH | |
| Ostomy Care Registered Nurse | 163WX1500X | RN284383 | OH |
Addresses
Primary practice location
3285 Renfro Ave
Cincinnati, OH 45211-6624
Mailing address
3285 Renfro Ave
Cincinnati, OH 45211-6624
Phone (513) 546-8002
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN284383 | OH | MD | Ostomy Care Registered Nurse |
| RT187022 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1689920936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 RENFRO AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116624",
"telephone_number": "513-546-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 RENFRO AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116624",
"telephone_number": "513-546-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDRIS",
"first_name": "DOROTHY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RT187022",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WD1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Dialysis, Peritoneal",
"state": "OH",
"license": "RN284383",
"primary": true
},
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "OH",
"license": "RN284383",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "OH",
"license": "RN284383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.