NPIMap

Organization Active NPI

D.L.Doornbos FNP-BC, MSN, LLC

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1902184203
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
960196 Issued in AK
Legal business name
D.L.DOORNBOS FNP-BC, MSN, LLC
Practice address
3970 Steller Dr
Anchorage, AK 99504-4225
Phone
(907) 242-7384
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Debra L Doornbos, FNP-BC MSN
Title
Owner
Phone
(907) 242-7384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 960196 AK Primary

Addresses

Primary practice location

3970 Steller Dr
Anchorage, AK 99504-4225

Mailing address

3970 Steller Dr
Anchorage, AK 99504-4225
Phone (907) 242-7384

Other names 1

  • Holistic Health Care, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1902184203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 STELLER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044225",
            "telephone_number": "907-242-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 STELLER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044225",
            "telephone_number": "907-242-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.L.DOORNBOS FNP-BC, MSN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "DOORNBOS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-242-7384",
        "authorized_official_credential": "FNP-BC MSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "960196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Health Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.