DEBRA K DOCKTER


Address: 1000 E Rosser Ave, Bismarck, ND 58501-4414
Phone: 7015306010

DEBRA K DOCKTER (NPI# 1902853492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902853492
Entity Type Individual
Full Name DEBRA K DOCKTER
Credential NP-C
Practice Address 1000 E Rosser Ave
Bismarck
ND 58501-4414
Mailing Address 401 N 9th St
Bismarck
ND 58501-4507
Practice Telephone 7015306010
Practice Fax Number 7015306430
Mailing Telephone 7015306010
Mailing Fax Number 7015306430
Enumeration Date 2006-05-28
Last Update Date 2010-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
R21549 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND MEDICARE RAILROAD P00223229 01

Office Location

Street Address 1000 E ROSSER AVE
City BISMARCK
State ND
Zip Code 58501-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982658134 Thomas P Hutchens Obstetrics & Gynecology 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-05-20
1023422805 Djaninn Mckibben Physician Assistant 1000 E Rosser Ave, Bismarck, ND 58501-4414 2014-06-19
1265872212 Heather Sandness Nelson Obstetrics & Gynecology 1000 E Rosser Ave, Bismarck, ND 58501-4414 2013-07-04
1033125869 Charlene Sampson Pharmacist 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-08-01
1548276371 Heritage Pharmacy East, Inc Pharmacy 1000 E Rosser Ave, Bismarck, ND 58501-4512 2006-08-01
1679518484 Anne M Earsley Physician Assistant 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-06-17
1629012695 John M Witt Obstetrics & Gynecology 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-06-16
1174561617 Melanie A Schlittenhardt Nurse Practitioner 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-06-04
1952348559 Robert J Bury Obstetrics & Gynecology 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-06-01
1124075619 Stacie L Moritz Physician Assistant 1000 E Rosser Ave, Bismarck, ND 58501-4414 2006-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
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1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1720691645 Crystal Lynn Lesmeister Nurse Practitioner 110 W Broadway Ste 101, Williston, ND 58801-6056 2020-08-29
1255448668 Cheryl A. Hefta Nurse Practitioner 416 2nd Ave N, Fort Totten, ND 58335 2006-08-23
1598772345 Renai D Ehrichs Nurse Practitioner 2101 Elm Street, Fargo, ND 58102 2006-08-02
1619939006 Carol Sue Moen Nurse Practitioner 524 4th Ave Ne, Unit 9, Devils Lake, ND 58301-2490 2006-04-03
1154319911 Gail Rae Halverson Nurse Practitioner 360 Division Ave, Suite 200, Grand Forks, ND 58201-4702 2005-10-06
1386280261 Canopy Medical Clinic, Pllc Nurse Practitioner 100 4th St S, Fargo, ND 58103-1929 2019-11-26
1700420288 Heather Rose Hass Nurse Practitioner 1301 15th Ave W, Williston, ND 58801-3821 2019-10-29
1629533724 Alexa Marie Volesky Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103 2019-02-04
1891265757 Carissa Abigail Monique Lawrence Nurse Practitioner 5225 23rd Ave S, Fargo, ND 58104-7927 2018-12-04
1730535386 Ashley A Ruesink Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2016-05-12
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Competitor

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City BISMARCK
Zip Code 58501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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