Individual provider Active NPI

Donisha Dawn Pardue, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902052954
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3181 Issued in AZ
Practice address
3606 E Baseline Rd
#209
Phoenix, AZ 85042-7202
Phone
(603) 957-0540
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3181 AZ Primary

Addresses

Primary practice location

3606 E Baseline Rd
#209
Phoenix, AZ 85042-7202

Mailing address

815 Riverview Dr
Florence, AL 35630-5927
Phone (603) 957-0540

Other names 1

  • Donisha Lapin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080905000463 AZ Practitioner - Nurse Practitioner 6305912940 Reassigns benefits to 2 organizations
I20130403000336 AL Practitioner - Nurse Practitioner 6305912940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Feb 17, 2018 Accepting new patients
Jewish Family & Children'S Service CurrentSince Feb 24, 2018 Accepting new patients
Jewish Family & Children'S Service Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Feb 17, 2018 Accepting new patients
Jewish Family & Children'S Service CurrentSince Feb 24, 2018 Accepting new patients

Locations

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

Interoperability endpoints

  • Direct secure messaging: donisha.parduenp.p1@direct.cbridges.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1902052954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 RIVERVIEW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305927",
            "telephone_number": "603-957-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 E BASELINE RD",
            "address_2": "#209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427202",
            "telephone_number": "603-957-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "DONISHA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONISHA",
            "last_name": "LAPIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.