Active NPI
Donna Egolf
- Licensed Practical Nurse
- Georgetown, DE
National Provider Identifier
1922584309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L2-0004626
- Practice address
- 21150 Airport Rd
Georgetown, DE 19947-5573 - Phone
- (302) 856-3636
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0004626 | DE | Primary |
Addresses
Primary practice location
21150 Airport Rd
Georgetown, DE 19947-5573
Mailing address
21150 Airport Rd
Georgetown, DE 19947-5573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2-00004626 | Other | DE | STATE OF DELAWARE 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0004626 | DE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1922584309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 AIRPORT RD",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199475573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 AIRPORT RD",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199475573",
"telephone_number": "302-856-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGOLF",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DE",
"license": "L2-0004626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE LICENSE",
"identifier": "L2-00004626",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.