Jennie Lynn Dugo, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7850 Issued in AZ

Practice address

1739 E Beverly Ave
Suite #118
Kingman, AZ 86409-3593

Phone

(928) 757-0613

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Colton Health Az, LLC

  • Medical Specialty Clinic/Center
  • Kingman, AZ
  • NPI 1124635396
  NPD
• Hematology-Oncology Associates of North Jersey LLC

  • Hematology & Oncology Physician
  • Bullhead City, AZ
  • NPI 1972776672
  NPD
• Hematology Oncology Associates of North Jersey, LLC

  • Hematology & Oncology Physician
  • Henderson, NV
  • NPI 1235833005
  NPD
• Brock Chiropractic Inc PC

  • Chiropractor
  • Kingman, AZ
  • NPI 1164582664
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1871979658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE #118",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-757-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE #118",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-757-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGO",
        "first_name": "JENNIE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Donahue
• Aaron King Donnell, PTA
• Barbara E Dorf, D.C.
• Doug S Clouse MD PLC
• Alicia Rae Douglass, PHARMD
• Harold Duhon II, MS, LISAC, ICCDP-D
• Stephanie Dunajski
• April Marron Ferreras Dy, M.D.
• David Dyer, D.O.
• Jeanette Rose Eakerns, R.N.

• All providers in Kingman, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.