Active NPI
Darlene S Bisgaard, CNP
- Nurse Practitioner
- Centerville, OH
National Provider Identifier
1982633657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP5706
- Practice address
- 6728 Loop Rd
BLDG 5, Suite 301
Centerville, OH 45459-2196 - Phone
- (937) 448-5333
- Fax
- (937) 438-0160
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP5706 | OH | Primary |
Addresses
Primary practice location
6728 Loop Rd
BLDG 5, Suite 301
Centerville, OH 45459-2196
Mailing address
6728 Loop Rd
BLDG 5, Suite 301
Centerville, OH 45459-2196
Phone (937) 448-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864495 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP5706 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1982633657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6728 LOOP RD",
"address_2": "BLDG 5, SUITE 301",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592196",
"telephone_number": "937-448-5333",
"fax_number": "937-438-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6728 LOOP RD",
"address_2": "BLDG 5, SUITE 301",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592196",
"telephone_number": "937-448-5333",
"fax_number": "937-438-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISGAARD",
"first_name": "DARLENE",
"middle_name": "S",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP5706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2864495",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.