Individual provider Active NPI

Nancy K. Dobies, RN

  • Community Health Registered Nurse
  • Fort Drum, NY
National Provider Identifier
1972837912
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
357304-1 Issued in NY
Practice address
11050 Mt Belvedere Blvd
USA Meddac/Credentials
Ft. Drum, NY 13602-5004
Phone
(315) 772-1507
Fax
(315) 772-6351
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 357304-1 NY Primary

Addresses

Primary practice location

11050 Mt Belvedere Blvd
USA Meddac/Credentials
Ft. Drum, NY 13602-5004

Mailing address

1137 Gotham St
Watertown, NY 13601-4111
Phone (315) 782-0872

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
357304-1NYMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1972837912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 GOTHAM ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014111",
            "telephone_number": "315-782-0872",
            "fax_number": "315-772-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MT BELVEDERE BLVD",
            "address_2": "USA MEDDAC/CREDENTIALS",
            "city": "FT. DRUM",
            "state": "NY",
            "postal_code": "136025004",
            "telephone_number": "315-772-1507",
            "fax_number": "315-772-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIES",
        "first_name": "NANCY",
        "middle_name": "K.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "357304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

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