NPIMap

Individual provider Active NPI

Julia Amilee Dority, APRN, CNP

  • Family Nurse Practitioner
  • Holdenville, OK
National Provider Identifier
1104287044
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0085717 Issued in OK
Practice address
100 McDougal Dr
Holdenville, OK 74848-2822
Phone
(405) 379-4201
Fax
(405) 379-4264
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 0085717 OK Primary

Addresses

Primary practice location

100 McDougal Dr
Holdenville, OK 74848-2822

Mailing address

100 McDougal Dr
Holdenville, OK 74848-2822
Phone (405) 379-4201

Other names 1

  • Julia Beeney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001929 OK Practitioner - Nurse Practitioner 5597045641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holdenville General Hospital Scholarship Fund IncGroup PAC ID 0345152153, 5 clinicians
Holdenville Hospital AuthorityGroup PAC ID 6002031424, 10 clinicians

Practice addresses (Care Compare)

100 McDougal Dr
Holdenville, OK 74848-2822

1401 W 1St St
Wewoka, OK 74884-5097
Phone (405) 257-3396

Hospital & facility affiliations

  • Mays Housecall Home Health of Antlers, LLC Home health agency, Antlers, OK, CCN 377187
  • Traditions Health of Purcell Home health agency, Purcell, OK, CCN 377520
  • Mays Home Health of NC Ok Home health agency, Okmulgee, OK, CCN 377273
  • Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0085717OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holdenville Hospital Authority Current Accepting new patients
Holdenville Hospital Authority Current Accepting new patients
Holdenville Hospital Authority CurrentSince Jan 15, 2018 Accepting new patients
Holdenville Hospital Authority Past Accepting new patients
Holdenville Hospital Authority Past Accepting new patients

Locations

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

1401 W 1st St
Wewoka, OK 74884
Phone (405) 257-3396

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 9

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1104287044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482822",
            "telephone_number": "405-379-4201",
            "fax_number": "405-379-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482822",
            "telephone_number": "405-379-4201",
            "fax_number": "405-379-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORITY",
        "first_name": "JULIA",
        "middle_name": "AMILEE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0085717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "BEENEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holdenville, OK

Sources for this page

Verify at the official NPI Registry.