Active NPI
Traci Dodd, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Sand Springs, OK
National Provider Identifier
1912855131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 206765
- Practice address
- 20 W 2ND St Ste 200
Sand Springs, OK 74063-7628 - Phone
- (918) 641-4462
- NPI assigned
- Mar 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 206765 | OK | Primary |
Addresses
Primary practice location
20 W 2ND St Ste 200
Sand Springs, OK 74063-7628
Mailing address
3640 Evans Ave
Mannford, OK 74044-3158
Phone (918) 641-4462
Other practice location 1
1409 S Main St
Stillwater, OK 74074-5836
Phone (918) 641-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Medical Group Practice, LLC
Practice addresses (Care Compare)
1201 S Division St
Xpress Wellness Urgent Care
Guthrie, OK 73044-5021
Phone (405) 293-4504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206765 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1912855131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 EVANS AVE",
"city": "MANNFORD",
"state": "OK",
"postal_code": "740443158",
"telephone_number": "918-641-4462",
"fax_number": "989-324-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 2ND ST STE 200",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637628",
"telephone_number": "918-641-4462"
}
],
"practiceLocations": [
{
"address_1": "1409 S Main St",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "OK",
"postal_code": "740745836",
"country_code": "US",
"telephone_number": "918-641-4462",
"fax_number": "989-324-5636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODD",
"first_name": "TRACI",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-21",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "206765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sand Springs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.