Individual provider Active NPI

Eveta Sue Dinges, NP-C

  • Family Nurse Practitioner
  • Jenks, OK
National Provider Identifier
1891988044
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0803115 Issued in OK
Practice address
715 W Main St
Suite S
Jenks, OK 74037-3554
Phone
(918) 299-9447
Fax
(918) 299-5325
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 F0803115 OK Primary

Addresses

Primary practice location

715 W Main St
Suite S
Jenks, OK 74037-3554

Mailing address

1903 S College Ave
Tulsa, OK 74104-6123
Phone (918) 744-8231

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0803115OKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1891988044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S COLLEGE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046123",
            "telephone_number": "918-744-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "address_2": "SUITE S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373554",
            "telephone_number": "918-299-9447",
            "fax_number": "918-299-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGES",
        "first_name": "EVETA",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F0803115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.