Individual provider Active NPI

Dorothy Teresa McCree, NP

  • Nurse Practitioner
  • Hayden, ID
National Provider Identifier
1093014664
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1059A Issued in ID
Practice address
8836 N Hess St Ste C
Hayden, ID 83835-8718
Phone
(208) 762-7760
Fax
(208) 762-7740
NPI assigned
Mar 22, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-1059A ID Primary

Addresses

Primary practice location

8836 N Hess St Ste C
Hayden, ID 83835-8718

Mailing address

8836 N Hess St Ste C
Hayden, ID 83835-8718
Phone (208) 762-7760

Other practice location 1

8500 N Atlas Rd
Hayden, ID 83835-8332
Phone (208) 415-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20120305000339 ID Practitioner - Nurse Practitioner 9234398652 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Nephrology Associates, Inc. CurrentSince Mar 16, 2018 Accepting new patients

Locations

8836 N Hess St
Ste C
Hayden, ID 83835
Phone (208) 762-0909

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093014664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 N HESS ST STE C",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358718",
            "telephone_number": "208-762-7760",
            "fax_number": "208-762-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 N HESS ST STE C",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358718",
            "telephone_number": "208-762-7760",
            "fax_number": "208-762-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 N Atlas Rd",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838358332",
            "country_code": "US",
            "telephone_number": "208-415-5243",
            "fax_number": "208-415-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREE",
        "first_name": "DOROTHY",
        "middle_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1059A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.