Individual provider Active NPI

Audrey Akinyi Dorsey, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1487242376
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1018639 Issued in TX
Practice address
13630 Beamer Rd Ste 108
Houston, TX 77089-6037
Phone
(281) 464-3780
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X 1018639 TX Primary

Addresses

Primary practice location

13630 Beamer Rd Ste 108
Houston, TX 77089-6037

Mailing address

1914 Cedar Ridge LN
Houston, TX 77089-1531
Phone (405) 974-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210805000710 TX Practitioner - Nurse Practitioner 7012311590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018639TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Nasa Casa de Ninos Pediatric Center, PA Single Specialty PastSince Jan 10, 2021 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2014 10th St
Orange, TX 77630
Phone (409) 883-6119

2750 Broadway St
Pearland, TX 77581
Phone (281) 448-5322

Interoperability endpoints

  • Direct secure messaging: adorseyfnp51910@direct.utmb.edu

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1487242376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 CEDAR RIDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891531",
            "telephone_number": "405-974-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 BEAMER RD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896037",
            "telephone_number": "281-464-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "AUDREY",
        "middle_name": "AKINYI",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1018639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.