Active NPI
Teagan Rae Dorsey, APRN-CNP
- Family Nurse Practitioner
- Chickasha, OK
National Provider Identifier
1639535537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 102643
- Practice address
- 304 S 29TH Street
Chickasha, OK 73018 - Phone
- (405) 896-8058
- Fax
- (844) 965-9881
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 102643 | OK | Primary |
| Registered Nurse | 163W00000X | 102643 | OK |
Addresses
Primary practice location
304 S 29TH Street
Chickasha, OK 73018
Mailing address
3021 County Street 2600
Hinton, OK 73047
Phone (405) 545-0727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1639535537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 COUNTY STREET 2600",
"city": "HINTON",
"state": "OK",
"postal_code": "73047",
"telephone_number": "405-545-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S 29TH STREET",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "73018",
"telephone_number": "405-896-8058",
"fax_number": "844-965-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "TEAGAN",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "102643",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "102643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.