Individual provider Active NPI

Dawn Renee Dodd, APRN, FNP-C

  • Family Nurse Practitioner
  • Farmers Branch, TX
National Provider Identifier
1548866973
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020649 Issued in TX
Practice address
14350 Proton Rd
Farmers Branch, TX 75244-3511
Phone
(146) 436-8882
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1020649 TX Primary

Addresses

Primary practice location

14350 Proton Rd
Farmers Branch, TX 75244-3511

Mailing address

3932 Bamberg LN
Fort Worth, TX 76244-6048
Phone (817) 903-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000812 TX Practitioner - Nurse Practitioner 4183007362 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020649TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Model Wellness, PLLC Single Specialty CurrentSince Jul 9, 2022 Accepting new patients
Apmd LLC Single Specialty PastSince Feb 27, 2022 Accepting new patients

Locations

14350 Proton Rd
Farmers Branch, TX 75244
Phone (214) 441-7610

Interoperability endpoints

  • Direct secure messaging: dawn.dodd@116865639055364.direct.elationemr.com

Organizations & group practices 2

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1548866973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 BAMBERG LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446048",
            "telephone_number": "817-903-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 PROTON RD",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443511",
            "telephone_number": "146-436-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.