Active NPI
Dorothy Henry, RN
- Diabetes Educator Registered Nurse
- Nampa, ID
National Provider Identifier
1891948154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- N-27130
- Practice address
- 144 N. Orchard Heights Way
Nampa, ID 83651-8344 - Phone
- (208) 440-6771
- Fax
- (888) 647-0695
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | N-27130 | ID | Primary |
Addresses
Primary practice location
144 N. Orchard Heights Way
Nampa, ID 83651-8344
Mailing address
144 N. Orchard Heights Way
Nampa, ID 83651-8344
Phone (208) 440-6771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N-27130 | Other | ID | NURSING LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| N-27130 | ID | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1891948154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 N. ORCHARD HEIGHTS WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836518344",
"telephone_number": "208-440-6771",
"fax_number": "888-647-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 N. ORCHARD HEIGHTS WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836518344",
"telephone_number": "208-440-6771",
"fax_number": "888-647-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "DOROTHY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "ID",
"license": "N-27130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "N-27130",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.