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Deactivated NPI 1669532834 Deactivated / Inactive NPI Female Practitioner

Dorothy Ann Poliandro , FNP, RN, CNM

Nurse Practitioner • Alpine, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dorothy Poliandro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2006
NPI Deactivation Date March 18, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dorothy Poliandro, FNP, RN, CNM was a registered Nurse Practitioner practicing in Alpine, CA. Throughout an active medical career spanning 13 years, Dorothy Poliandro provided care at the practice location at 4058 WILLOWS RD until profile deactivation on 2019-03-18.

Practice Location & Contact Primary Location

Practice Address

4058 Willows Rd

Alpine, CA 919011668

Telephone 6194451188
Fax 6196593144
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Alpine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Alpine, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 170811

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013085638

Doctor of Dental Surgery

NPI 1023015906

Doctor of Medicine (M.D.)

NPI 1023278629

Doctor of Osteopathic Medicine (D.O.)

Tami Mason , LMFT

Marriage & Family Therapist

NPI 1033650668

Licensed Marriage and Family Therapist

NPI 1053377671

Doctor of Medicine (M.D.)

Lacey Armstrong

Dental Hygienist

NPI 1073126884

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4058 WILLOWS RD, ALPINE, CA 919011668 (Tel: 6194451188)

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Updated Business Mailing Address July 09, 2007

Registered at 1411 MIDWAY CT, ALPINE, CA 919013729 (Tel: 6194450156)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DOROTHY POLIANDRO, FNP, RN, CNM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Nurse Practitioner (License #170811 in CA)

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Initial NPI Registration & Enumeration December 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669532834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: July 09, 2007
Deactivation Date: March 18, 2019

Mailing Address

1411 Midway Ct

Alpine, CA 919013729

Phone: 6194450156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.