Dallas Michelle Ducar, MSN, APRN, CNL, FAAN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2333294 Issued in MA

Practice address

55 Fruit St FL Hall4
Boston, MA 02114-2696

Phone

(617) 643-7210

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1780239483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60538",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010620538",
            "telephone_number": "413-341-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST FL HALL4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCAR",
        "first_name": "DALLAS",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, CNL, FAAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2333294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BOARD OF REGISTRATION NURSING",
            "identifier": "RN2333294",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Dubosh, M.D.
• Joshua William Dubow, MD
• Maureen D. Dubreuil, MD
• Hana Dubsky, PA-C
• Emmanuelle Dubuisson
• Amalie Ducasse
• Denise Duchainey, MSS
• Peter William Ducharme, LCSW
• Stanley H. Ducharme, PH.D.
• Georges Ducheine

• Psychiatric/Mental Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.