Individual provider Active NPI

Kaitlin Dingee, FNP-C

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1194266288
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133535 Issued in TX
Practice address
208 Oak Dr S Ste 502
Lake Jackson, TX 77566
Phone
(979) 285-2273
NPI assigned
Mar 9, 2017
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 AP133535 TX Primary

Addresses

Primary practice location

208 Oak Dr S Ste 502
Lake Jackson, TX 77566

Mailing address

306 Avenue B
Brazoria, TX 77422-9332
Phone (713) 530-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171206003145 TX Practitioner - Nurse Practitioner 1355608910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William E Burns Jr M D, PLLC CurrentSince Oct 27, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Aug 8, 2017 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Aug 8, 2017 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

208 Oak Dr S
Ste 502
Lake Jackson, TX 77566
Phone (979) 285-2273

Organizations & group practices 3

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1194266288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 AVENUE B",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774229332",
            "telephone_number": "713-530-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 502",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-285-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGEE",
        "first_name": "KAITLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.