Dodd Family Practice, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003662 Issued in AR

Legal business name

DODD FAMILY PRACTICE, PLLC

Practice address

451 Ingram St
Clinton, AR 72031-7078

Phone

(501) 745-2713

Fax

(501) 745-2714

NPI assigned

Mar 10, 2016

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Gail Dodd

Title

Aprn

Phone

(501) 745-2713

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1689035263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720311280",
            "telephone_number": "501-745-2713",
            "fax_number": "501-745-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 INGRAM ST",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720317078",
            "telephone_number": "501-745-2713",
            "fax_number": "501-745-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODD FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "501-745-2713"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192317758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie De Roque
• Jessica Dean
• Sheila Debow, RECOVERY ASSISTANT
• Martha Dennis
• Melanie Paige Diorio, CRNA, MS
• Robbie Todd Douglas, RNP
• Katherine Elizabeth Dunham, APRN
• Robin Lanae Duran, M.S.
• Christopher Dutton, CMP
• Frances Eagle, RECOVERY ASSISTANT

• Family Nurse Practitioner in Clinton, AR
• Providers in Clinton, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.