Individual provider Active NPI

Kandra Dodd, APRN

  • Family Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1003393778
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80748 Issued in OK
Practice address
511 E Choctaw Ave
McAlester, OK 74501-5031
Phone
(580) 579-9947
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 80748 OK Primary

Addresses

Primary practice location

511 E Choctaw Ave
McAlester, OK 74501-5031

Mailing address

PO Box 92
Kenefic, OK 74748-0092
Phone (580) 579-9947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308001776 OK Practitioner - Nurse Practitioner 0840540498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kandra Dodd Aprn PLLCGroup PAC ID 7911354774, 2 clinicians

Practice addresses (Care Compare)

511 E Choctaw Ave
McAlester Health Clinic
McAlester, OK 74501-5031
Phone (918) 426-8435

Hospital & facility affiliations

  • Heritage Home Care, Inc Home health agency, Eufaula, OK, CCN 377872
  • Mays Housecall Home Health of Antlers, LLC Home health agency, Antlers, OK, CCN 377187
  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kandra Dodd Aprn PLLC CurrentSince Oct 3, 2023 Accepting new patients
Southeast Oklahoma Medical Clinic, LLC CurrentSince Jan 22, 2019 Accepting new patients
Prague Healthcare Authority CurrentSince Mar 1, 2020 Accepting new patients
Prague Healthcare Authority CurrentSince Mar 1, 2020 Accepting new patients
McAlester Regional Health Center Authority Past Accepting new patients

Locations

511 E Choctaw Ave
McAlester, OK 74501
Phone (580) 579-9947

1308 E Carl Albert Pkwy
Ste A
McAlester, OK 74501
Phone (918) 302-9197

1322 Klabzuba Ave
Ste A
Prague, OK 74864
Phone (405) 567-4922

1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/coalcgh-a055a746

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1003393778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "KENEFIC",
            "state": "OK",
            "postal_code": "747480092",
            "telephone_number": "580-579-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E CHOCTAW AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015031",
            "telephone_number": "580-579-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "KANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "80748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.