Individual provider Active NPI

Donald Paul Highley Jr., INDEPENDENT DUTY COR

  • Independent Duty Medical Technicians
  • Norfolk, VA
National Provider Identifier
1760691547
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
Uss James E, Williams (DDG 95)
Norfolk, VA 09575-1204
Phone
(757) 444-2344
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X CA Primary

Addresses

Primary practice location

Uss James E, Williams (DDG 95)
Norfolk, VA 09575-1204

Mailing address

3929 Two Oaks Rd
Portsmouth, VA 23703-2647
Phone (757) 638-9426

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1760691547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 TWO OAKS RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032647",
            "telephone_number": "757-638-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USS JAMES E, WILLIAMS (DDG 95)",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "095751204",
            "telephone_number": "757-444-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLEY",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "INDEPENDENT DUTY COR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.