Makenna Nicole Dubois

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

9110 Blackbird Ave
Fountain Valley, CA 92708-6404

Phone

(714) 814-0045

NPI assigned

May 18, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1861014458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 BLACKBIRD AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086404",
            "telephone_number": "714-814-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 BLACKBIRD AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086404",
            "telephone_number": "714-814-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "MAKENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. la Fountain Valley Chiropractic Corporation
• Dr. William Vy Chiropractic, Inc
• Amber Drew
• Alan Dror, MD
• Michael Duan, MD
• Tayzha Kehaunani Dudoit, BT, BA
• Joanna Duesler, MS
• Ulemj Dugarnyam, PA
• Duke a Phan MD Neurology Inc
• Rachel Dulac

• Genetic Counselor (M.S.) in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.