Colleen J Dodson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11021326 Issued in FL

Practice address

1931 Ortega St
Navarre, FL 32566-4111

Phone

(850) 684-1410

Fax

(833) 989-0937

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seaside Primary Care and Psychiatry, LLCGroup PAC ID 0143643189, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.dodson@501067285200900.direct.elationemr.com

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.

• Seaside Primary Care & Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Navarre, FL
  • NPI 1730704875

  Family

  Medicare reassignment Care Compare group NPD
• Peace of Mind Psychiatry LLC

  • Family Nurse Practitioner
  • Navarre, FL
  • NPI 1376268573
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1669100459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 ORTEGA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664111",
            "telephone_number": "850-684-1410",
            "fax_number": "833-989-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 ORTEGA ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664111",
            "telephone_number": "850-684-1410",
            "fax_number": "833-989-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "COLLEEN",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Medical Group, Inc.
• Dharmarcare LLC
• Tina Diaz, PT
• Maria Dillard, LMHC
• Jasmine Dismuke
• Margaret Doherty, LPC, LMHC
• Dr Llaird Likens LLC
• Chenoa Drewa
• Julie Ducker, DMD
• Breanne Ducote

• Family Nurse Practitioner in Navarre, FL
• Providers in Navarre, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.