Individual provider Active NPI

Dori Lynn Deffit, APRN CNP

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1326510488
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105307 Issued in OK
Practice address
1100 N College Ave
Fayetteville, AR 72703-1944
Phone
(417) 891-4800
Fax
(417) 891-4912
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 105307 OK Primary

Addresses

Primary practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Mailing address

1100 N College Ave
Fayetteville, AR 72703-1944
Phone (417) 891-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190827000986 OK Practitioner - Nurse Practitioner 4981932191 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Northeast Oklahoma, Inc. CurrentSince Jul 2, 2019 Accepting new patients
Community Health Center of Northeast Oklahoma, Inc. Current Accepting new patients
Community Health Center of Northeast Oklahoma CurrentSince Jul 2, 2019 Accepting new patients

Locations

138 S Main St
Afton, OK 74331
Phone (918) 257-4244

244 S Scraper St
Vinita, OK 74301
Phone (918) 256-6441

244 S Scraper St
Ste D
Vinita, OK 74301
Phone (918) 257-8029

Interoperability endpoints

  • Direct secure messaging: ddeffit682483@hisp.ehr.sutterhealth.org
  • Direct secure messaging: provider10@chcneo.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1326510488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "417-891-4800",
            "fax_number": "417-891-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "417-891-4800",
            "fax_number": "417-891-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFFIT",
        "first_name": "DORI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "105307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.