Individual provider Active NPI

Dolly Rebecca Denson, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Adkins, TX
National Provider Identifier
1134436983
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
676398 Issued in TX
Practice address
2295 Stuart Rd
Adkins, TX 78101-4549
Phone
(804) 893-0890
Fax
(210) 899-1065
NPI assigned
Aug 31, 2010
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0001755 CO
Family Nurse Practitioner 363LF0000X 26NJ01278900 NJ
Family Nurse Practitioner 363LF0000X APRN-193326 MT
Family Nurse Practitioner 363LF0000X R52028 ND
Family Nurse Practitioner 363LF0000X 49403 WY
Family Nurse Practitioner 363LF0000X 67206 NM
Family Nurse Practitioner 363LF0000X CP002341 SD
Family Nurse Practitioner 363LF0000X 267129 AZ
Family Nurse Practitioner 363LF0000X NPPA050655 PA
Family Nurse Practitioner 363LF0000X 191063 AK
Family Nurse Practitioner 363LF0000X 12625816-4405 UT
Family Nurse Practitioner 363LF0000X SP025311 PA
Family Nurse Practitioner 363LF0000X 72038 ID
Family Nurse Practitioner 363LF0000X 114094 NE
Family Nurse Practitioner 363LF0000X 676398 TX Primary

Addresses

Primary practice location

2295 Stuart Rd
Adkins, TX 78101-4549

Mailing address

2295 Stuart Rd
Adkins, TX 78101-4549
Phone (210) 722-3684

Other identifiers 2

IdentifierTypeStateIssuer
220109701MedicaidTX
220109702OtherTXCSHCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20230822003477 ND Practitioner - Nurse Practitioner 3476679697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10168CTMDSocial Worker
0001755COMDFamily Nurse Practitioner
72038IDMDFamily Nurse Practitioner
APRN-193326MTMDFamily Nurse Practitioner
114094NEMDFamily Nurse Practitioner
26NJ01278900NJMDFamily Nurse Practitioner
NPPA050655PAMDFamily Nurse Practitioner
SP025311PAMDFamily Nurse Practitioner
12625816-4405UTMDFamily Nurse Practitioner
49403WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Resource Centers LTD PastSince Jan 25, 2023 Accepting new patients
Kellum Physician Partners, PA Past Accepting new patients
First Family Clinic, Inc. Past Accepting new patients
Clinic Service Providers, PA PastSince Jun 25, 2012 Accepting new patients

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, 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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1134436983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 STUART RD",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781014549",
            "telephone_number": "210-722-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 STUART RD",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781014549",
            "telephone_number": "804-893-0890",
            "fax_number": "210-899-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "DOLLY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0001755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01278900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-193326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R52028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "49403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "67206",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002341",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "NPPA050655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "191063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12625816-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "72038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "676398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220109701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "220109702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adkins, TX

Sources for this page

Verify at the official NPI Registry.