Individual provider Active NPI

Imelda Rios Donohue, RN

  • Ambulatory Care Registered Nurse
National Provider Identifier
1831129345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN34947 Issued in NV
Practice address
PSC 827 Box 1000
Fpo, AE 09617
IT
Phone
390818116324
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN34947 NV Primary

Addresses

Primary practice location

PSC 827 Box 1000
Fpo, AE 09617
IT

Mailing address

PSC 827 Box 349
Fpo, AE 09617
IT
Phone 390818116324

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN34947NVMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Karen M. Gray Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831129345",
    "addresses": [
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 827 BOX 349",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09617",
            "telephone_number": "390818116324"
        },
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "PSC 827 BOX 1000",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09617",
            "telephone_number": "390818116324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "IMELDA",
        "middle_name": "RIOS",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NV",
            "license": "RN34947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.