Individual provider Active NPI

Hayley Dollarhide, APRN, FNP-C

  • Family Nurse Practitioner
  • Idabel, OK
National Provider Identifier
1821774332
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213697 Issued in OK
Practice address
1425 E Lincoln Rd Ste B3
Idabel, OK 74745-7345
Phone
(580) 286-2947
Fax
(580) 286-8287
NPI assigned
Jun 27, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213697 OK Primary

Addresses

Primary practice location

1425 E Lincoln Rd Ste B3
Idabel, OK 74745-7345

Mailing address

1425 E Lincoln Rd Ste B3
Idabel, OK 74745-7345
Phone (580) 286-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20231207003045 OK Practitioner - Nurse Practitioner 2961851563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1315 S Lynn LN
Idabel, OK 74745-6845
Phone (580) 286-2947

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213697OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. CurrentSince Oct 1, 2023 Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Oct 1, 2023 Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients

Locations

8901 N US Highway 259
Broken Bow, OK 74728
Phone (580) 494-6562

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1315 S Lynn Ln
Idabel, OK 74745
Phone (580) 286-2947

1425 E Lincoln Rd
Ste B
Idabel, OK 74745
Phone (580) 208-2273

1425 E Lincoln Rd
Ste B3
Idabel, OK 74745
Phone (580) 286-2947

Interoperability endpoints

  • Direct secure messaging: hayley.dollarhide.1@19961.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1821774332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN RD STE B3",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-2947",
            "fax_number": "580-286-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN RD STE B3",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-2947",
            "fax_number": "580-286-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLARHIDE",
        "first_name": "HAYLEY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "213697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.