Active NPI
Amanda Dooley, L.PED
- Specialist
- Claremore, OK
National Provider Identifier
1124574330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 151
- Practice address
- 101 S Moore Ave
Claremore, OK 74417 - Phone
- (918) 342-6200
- NPI assigned
- Aug 28, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 151 | OK | Primary |
Addresses
Primary practice location
101 S Moore Ave
Claremore, OK 74417
Mailing address
101 S Moore Ave
Claremore, OK 74017-5047
Phone (918) 342-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151 | OK | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1124574330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MOORE AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175047",
"telephone_number": "918-342-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MOORE AVE",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "74417",
"telephone_number": "918-342-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "L.PED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.