Individual provider Active NPI

Faith Dinkins

  • Physician Assistant
  • Bartlesville, OK
National Provider Identifier
1477281723
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5450 Issued in OK
Practice address
309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643
Phone
(918) 214-8888
Fax
(918) 214-8887
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5450 OK Primary

Addresses

Primary practice location

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643

Mailing address

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643
Phone (918) 214-8888

Other names 1

  • Faith Hudson Former name

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
I20250205002489 OK Practitioner - Physician Assistant 6204366370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Oklahoma DermatologyGroup PAC ID 7810344637, 5 clinicians

Practice addresses (Care Compare)

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643
Phone (918) 214-8888

314 E 5TH Ave
Suite 106
Owasso, OK 74055-3484
Phone (918) 938-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5450OKMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: fhudson@northernokderm.emadirect.md

Organizations & group practices 1

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1477281723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKINS",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "HUDSON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.