Individual provider Active NPI

Dorothy L Harsen

  • Gerontology Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1447339023
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
090719 Issued in MO
Practice address
2240 W Sunset St Ste 104
Springfield, MO 65807-6041
Phone
(417) 209-2324
Fax
(417) 269-9281
NPI assigned
Nov 3, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 090719 MO Primary

Addresses

Primary practice location

2240 W Sunset St Ste 104
Springfield, MO 65807-6041

Mailing address

2240 W Sunset St Ste 104
Springfield, MO 65807-6041
Phone (417) 209-2324

Other identifiers 1

IdentifierTypeStateIssuer
429261704MedicaidMO

Other names 1

  • Dorothy L. Hartley Former name

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

Interoperability endpoints

  • Direct secure messaging: dorothy.harsen@cernerdirect.coxhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1447339023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W SUNSET ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076041",
            "telephone_number": "417-209-2324",
            "fax_number": "417-269-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W SUNSET ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076041",
            "telephone_number": "417-209-2324",
            "fax_number": "417-269-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSEN",
        "first_name": "DOROTHY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "090719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429261704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "HARTLEY",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.