Individual provider Active NPI

Gwendolyn Kaye Stokes, CPNP

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1346326303
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
244040 Issued in TX
Practice address
1151 N Buckner Blvd
Profession BLDG. I, Suite 203
Dallas, TX 75218-3426
Phone
(214) 324-4221
Fax
(214) 324-3705
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 244040 TX Primary

Addresses

Primary practice location

1151 N Buckner Blvd
Profession BLDG. I, Suite 203
Dallas, TX 75218-3426

Mailing address

1151 N Buckner Blvd
Profession BLDG. I, Suite 203
Dallas, TX 75218-3426
Phone (214) 324-4221

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
244040TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1346326303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "PROFESSION BLDG. I, SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-324-4221",
            "fax_number": "214-324-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "PROFESSION BLDG. I, SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-324-4221",
            "fax_number": "214-324-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "GWENDOLYN",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "244040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.