Active NPI
Dorothy L Harsen
- Gerontology Nurse Practitioner
- Springfield, MO
National Provider Identifier
1447339023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 090719
- 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, 2023
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429261704 | Medicaid | MO |
Other names 1
- Dorothy L. Hartley
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
- 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.