Patricia Denise Dupree, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95012740 Issued in CA

Practice address

14200 Meridian Pkwy # 101
Riverside, CA 92518-3044

Phone

(951) 653-0655

Fax

(951) 653-0664

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orangecrest Medical Group, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1033676317
  NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1710522255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 MERIDIAN PKWY # 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183044",
            "telephone_number": "951-653-0655",
            "fax_number": "951-653-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 MERIDIAN PKWY # 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183044",
            "telephone_number": "951-653-0655",
            "fax_number": "951-653-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "PATRICIA",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "raincrossmedicalgroup.net",
            "affiliation": "N",
            "address_1": "14200 Meridian Pkwy # 101",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925183044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phuoc Brian Thien Duong
• Raymond Duong
• Sebastien Duong
• Tri Duong, D.D.S
• Matthew Erich Dupper
• Edward Alden Duquette
• Mariah Desiree Duran-Novella
• Adriana Duran, MSPAS, PA-C
• Alina Gisselle Duran
• Amanda Barbara Duran, MFT

• All providers in Riverside, CA
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.