Doretta Spates, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

622642 Issued in TX

Practice address

3246 Preston Rd Ste 620
Frisco, TX 75034-9077

Phone

(972) 430-7477

Fax

(972) 767-3424

NPI assigned

Jan 24, 2013

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Belyeu Medical Care Providers PLLC

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1265788764
  NPD (past)
• Brent Belvin MD PA

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
  • NPI 1780946772
  NPD (past)
• DFW Hospitalists

  • Internal Medicine Physician
  • Trophy Club, TX
  • NPI 1316103757
  NPD (past)
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1336572759
  NPD (past)
• True Medicine, PA

  • Internal Medicine Physician
  • Trophy Club, TX
  • NPI 1952550352
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1912245044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 SAINT ANDREWS BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386442",
            "telephone_number": "817-308-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 PRESTON RD STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349077",
            "telephone_number": "972-430-7477",
            "fax_number": "972-767-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATES",
        "first_name": "DORETTA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "622642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doretta.spates@totalmens.com",
            "affiliation": "Y",
            "affiliationName": "TOTAL MENS PRIMARY CARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3246 Preston Rd Ste 620",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750349077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Spangenberg
• Cassidy Alan Spangler, DC
• Spark Acupuncture, PLLC
• Misti Sparks
• Sparrow Anesthesia Associates PLLC (Sparrow Anesthesia)
• Sherica Shardae Spearman
• Andrea Spears-McCulley, BCBA
• Special Surgery DFW, PLLC
• Specialty Physician Partners, LLC
• Ashley Erin Spector, D.C.

• Adult Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.