Active NPI
Dorothy Saxon, R.N. G.N.P.
- Gerontology Nurse Practitioner
- Stephenville, TX
National Provider Identifier
1225034184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 413153
- Practice address
- 150 River North Blvd
Stephenville, TX 76401-1803 - Phone
- (254) 968-6051
- Fax
- (254) 968-4204
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 413153 | TX | Primary |
Addresses
Primary practice location
150 River North Blvd
Stephenville, TX 76401-1803
Mailing address
150 River North Blvd
Stephenville, TX 76401-1803
Phone (254) 968-6051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101398901 | Medicaid | TX | |
| 500008885 | Other | TX | RAILROAD MEDICARE PROV NO |
| 83N204 | Other | TX | AETNA PROVIDER NUMBER |
| 83N204 | Other | TX | BCBS PROVIDER NUMBER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 413153 | TX | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1225034184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 RIVER NORTH BLVD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764011803",
"telephone_number": "254-968-6051",
"fax_number": "254-968-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 RIVER NORTH BLVD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764011803",
"telephone_number": "254-968-6051",
"fax_number": "254-968-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAXON",
"first_name": "DOROTHY",
"name_prefix": "Mr.",
"credential": "R.N. G.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "413153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101398901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV NO",
"identifier": "500008885",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "83N204",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "83N204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.