Active NPI
Deborah J Dorsch, FNP
- Family Nurse Practitioner
- Portage, IN
National Provider Identifier
1770088585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007897A
- Practice address
- 6212 US Highway 6 # 195
Portage, IN 46368-5057 - Phone
- (219) 513-3701
- Fax
- (855) 737-5542
- NPI assigned
- Mar 26, 2018
- Last updated
- Apr 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007897A | IN | Primary |
| Registered Nurse | 163W00000X | 28202070A | IN |
Addresses
Primary practice location
6212 US Highway 6 # 195
Portage, IN 46368-5057
Mailing address
333 Commerce St Ste 700
Nashville, TN 37201-1835
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28202070A | IN | MD | Registered Nurse |
| 71007897A | IN | MD | Family Nurse Practitioner |
Interoperability endpoints
- ddorsch20091@carelonhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1770088585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST STE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 US HIGHWAY 6 # 195",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685057",
"telephone_number": "219-513-3701",
"fax_number": "855-737-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSCH",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007897A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28202070A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.