Active NPI
Nicole Elise Dukes
- Physical Medicine & Rehabilitation Physician
- Yuma, AZ
National Provider Identifier
1750003257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5502005255
- Practice address
- 3970 W 24TH St Ste 108
Yuma, AZ 85364-9257 - Phone
- (928) 783-0555
- NPI assigned
- Sep 13, 2022
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5502005255 | MI | Primary |
Addresses
Primary practice location
3970 W 24TH St Ste 108
Yuma, AZ 85364-9257
Mailing address
19170 Indiana St
Detroit, MI 48221-3206
Phone (313) 721-4907
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502005255 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength Training Inc | Current | Accepting new patients | |
| Strength Training Inc. | Past | Accepting new patients |
Locations
3970 W 24th St
Ste 108
Yuma, AZ 85364
Phone (602) 300-9464
Organizations & group practices 2
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518925569
-
- Physical Therapist
- Yuma, AZ
- NPI 1437551041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1750003257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19170 INDIANA ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482213206",
"telephone_number": "313-721-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 W 24TH ST STE 108",
"city": "YUMA",
"state": "AZ",
"postal_code": "853649257",
"telephone_number": "928-783-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "NICOLE",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5502005255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.