Active NPI
Suzanna Dooley
- Pediatric Registered Nurse
- Oklahoma City, OK
National Provider Identifier
1902019391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- D6164604 ARNP
- Practice address
- 1000 NE 10TH St
Oklahoma City, OK 73117-1207 - Phone
- (405) 271-4480
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | ARNP 2608622 | FL | |
| Pediatric Registered Nurse | 163WP0200X | D6164604 ARNP | OK | Primary |
| Pediatric Registered Nurse | 163WP0200X | 565355 PNP-LPA | TX |
Addresses
Primary practice location
1000 NE 10TH St
Oklahoma City, OK 73117-1207
Mailing address
4813 Elk Run
Yukon, OK 73099-3111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2608622 | FL | MD | Pediatric Registered Nurse |
| D6164604 ARNP | OK | MD | Pediatric Registered Nurse |
| 565355 PNP-LPA | TX | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902019391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4813 ELK RUN",
"city": "YUKON",
"state": "OK",
"postal_code": "730993111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731171207",
"telephone_number": "405-271-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "SUZANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "FL",
"license": "ARNP 2608622",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "OK",
"license": "D6164604 ARNP",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "TX",
"license": "565355 PNP-LPA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.