Active NPI
Jodi M Dodson, ARNP
- Women's Health Nurse Practitioner
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R0053999
- Practice address
- 1139 36TH Ave NW
Suite 100
Norman, OK 73072-4103 - Phone
- (405) 217-9997
- Fax
- (405) 307-8520
- NPI assigned
- Nov 9, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R0053999 | OK | Primary |
Addresses
Primary practice location
1139 36TH Ave NW
Suite 100
Norman, OK 73072-4103
Mailing address
18100 Providence Ave
Edmond, OK 73003-4142
Phone (405) 340-3971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200100030A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1728 Professional Cir
Yukon, OK 73099-6470
Phone (405) 265-2733
Hospital & facility affiliations
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0053999 | OK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachelle Wilson, DO LLC | Current | Accepting new patients | |
| The Physicians Group LLC | Current | Accepting new patients | |
| Recenter Medical LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
3400 Tuxedo Blvd
Ste H
Bartlesville, OK 74006
Phone (918) 876-4205
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505
1728 Professional Cir
Yukon, OK 73099
Phone (405) 265-2733
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EACDDD/Endpoint/EACDDD
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.
-
- Family Medicine Physician
- Yukon, OK
- NPI 1942198189
-
- Clinic/Center
- Yukon, OK
- NPI 1679348288
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1003986563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18100 PROVIDENCE AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730034142",
"telephone_number": "405-340-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 36TH AVE NW",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724103",
"telephone_number": "405-217-9997",
"fax_number": "405-307-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "JODI",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "R0053999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200100030A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.