Individual provider Active NPI

Sheila D. Dougal, R.N.

  • Registered Nurse
  • Goodyear, AZ
National Provider Identifier
1891927786
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
136646 Issued in AZ
Practice address
1891 N Litchfield Rd
Apt. 126
Goodyear, AZ 85395-1601
Phone
(623) 242-9814
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 136646 AZ Primary

Addresses

Primary practice location

1891 N Litchfield Rd
Apt. 126
Goodyear, AZ 85395-1601

Mailing address

1891 N Litchfield Rd Apt 126
Goodyear, AZ 85395-1609
Phone (623) 242-9814

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
136646AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1891927786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 N LITCHFIELD RD APT 126",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951609",
            "telephone_number": "623-242-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 N LITCHFIELD RD",
            "address_2": "APT. 126",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951601",
            "telephone_number": "623-242-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAL",
        "first_name": "SHEILA",
        "middle_name": "D.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "136646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.