Active NPI
Dorothy Diane Cockburn, C.P.N.P.
- Pediatric Nurse Practitioner
- Okmulgee, OK
National Provider Identifier
1730186651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R0024127
- Practice address
- 1101 S Belmont Ave
Ste 205
Okmulgee, OK 74447-6315 - Phone
- (918) 756-8371
- Fax
- (918) 758-3437
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R0024127 | OK | Primary |
Addresses
Primary practice location
1101 S Belmont Ave
Ste 205
Okmulgee, OK 74447-6315
Mailing address
1101 S Belmont Ave
Ste 205
Okmulgee, OK 74447-6315
Phone (918) 756-8371
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0024127 | OK | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730186651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S BELMONT AVE",
"address_2": "STE 205",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476315",
"telephone_number": "918-756-8371",
"fax_number": "918-758-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S BELMONT AVE",
"address_2": "STE 205",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476315",
"telephone_number": "918-756-8371",
"fax_number": "918-758-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKBURN",
"first_name": "DOROTHY",
"middle_name": "DIANE",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "R0024127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.