Individual provider Active NPI

Margaret M Dodson, WHNP

  • Women's Health Nurse Practitioner
  • Longview, TX
National Provider Identifier
1780987289
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
696190 Issued in TX
Practice address
410 N 4TH St
Longview, TX 75601-6511
Phone
(903) 234-8808
Fax
(903) 234-2976
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 696190 TX Primary

Addresses

Primary practice location

410 N 4TH St
Longview, TX 75601-6511

Mailing address

410 N 4TH St
Longview, TX 75601-6511
Phone (903) 234-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000771 TX Practitioner - Nurse Practitioner 3173794724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

409 N 6TH St
Longview, TX 75601-6536
Phone (903) 501-1747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
696190TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Special Health Resources for Texas, Incorporated CurrentSince Jun 12, 2011 Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Jun 12, 2011 Accepting new patients

Locations

2030 S High St
Longview, TX 75602
Phone (903) 234-0936

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

410 N 4th St
Longview, TX 75601
Phone (903) 234-8808

Interoperability endpoints

  • Direct secure messaging: margaret.dodson@wchcl.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1780987289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016511",
            "telephone_number": "903-234-8808",
            "fax_number": "903-234-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016511",
            "telephone_number": "903-234-8808",
            "fax_number": "903-234-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "MARGARET",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "696190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.