Active NPI
Kacee Dunavan, FNP
- Family Nurse Practitioner
- Odessa, TX
National Provider Identifier
1144696436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128857
- Practice address
- 8050 E Highway 191
Odessa, TX 79765-8613 - Phone
- (432) 337-5411
- Fax
- (432) 561-5014
- NPI assigned
- Aug 20, 2015
- Last updated
- Aug 20, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128857 | TX | Primary |
Addresses
Primary practice location
8050 E Highway 191
Odessa, TX 79765-8613
Mailing address
PO Box 2129
Odessa, TX 79760-2129
Phone (432) 337-5411
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt 2 Work Products Inc | Past | Accepting new patients |
Interoperability endpoints
- kacee.dunavan.1@17622.direct.athenahealth.com
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.
-
dba OccuMed
- Personal Emergency Response Attendant
- Odessa, TX
- NPI 1760600571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1144696436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2129",
"city": "ODESSA",
"state": "TX",
"postal_code": "797602129",
"telephone_number": "432-337-5411",
"fax_number": "432-561-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 E HIGHWAY 191",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658613",
"telephone_number": "432-337-5411",
"fax_number": "432-561-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAVAN",
"first_name": "KACEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.