Active NPI
Tanganyika Lynn Dudley, APRN, AGACNP-BC
- Nurse Practitioner
- Paris, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP140296
- Practice address
- 1055 Clarksville St Ste 110
Paris, TX 75460-0210 - Phone
- (903) 785-3300
- Fax
- (903) 785-3310
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP140296 | TX | Primary |
| Nurse Practitioner | 363L00000X | 132422 | OK |
Addresses
Primary practice location
1055 Clarksville St Ste 110
Paris, TX 75460-0210
Mailing address
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
Other practice location 1
1104 E Lincoln Rd
Idabel, OK 74745-7364
Phone (903) 785-3300
Other practice location 2
103 Medical Cir Bldg 3
Sulphur Springs, TX 75482-2138
Phone (903) 785-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1055 Clarksville St
Suite 110
Paris, TX 75460-0210
Phone (903) 785-3300
403 S Indian Rd
Idabel, OK 74745-5458
Phone (903) 785-3300
Hospital & facility affiliations
- Paris Regional Medical Center
- McCurtain Memorial Hospital
- Christus Mother Frances Hospital Sulphur Springs
- Titus Regional Medical Center
- Christus Mother Frances Hospital- Winnsboro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132422 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Nephrology Associates, P.a. | Current | Accepting new patients |
Locations
1104 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-5030
403 S Indian Rd
Idabel, OK 74745
Phone (580) 286-6688
635 Stone Ave
Paris, TX 75460
Phone (903) 785-3300
1055 Clarksville St
Ste 110
Paris, TX 75460
Phone (903) 784-7472
105 Medical Cir
Bldg 3
Sulphur Springs, TX 75482
Phone (903) 785-3300
1133 Medical Dr
Tyler, TX 75701
Phone 9035955486173
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tdudley32233@direct.acumenmd.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
- General Acute Care Hospital
- Paris, TX
- NPI 1063411767
-
- Critical Access Hospital
- Winnsboro, TX
- NPI 1659308948
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
-
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1962066688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLARKSVILLE ST STE 110",
"city": "PARIS",
"state": "TX",
"postal_code": "754600210",
"telephone_number": "903-785-3300",
"fax_number": "903-785-3310"
}
],
"practiceLocations": [
{
"address_1": "1104 E Lincoln Rd",
"address_purpose": "LOCATION",
"city": "Idabel",
"state": "OK",
"postal_code": "747457364",
"country_code": "US",
"telephone_number": "903-785-3300",
"fax_number": "903-785-3310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "103 Medical Cir Bldg 3",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754822138",
"country_code": "US",
"telephone_number": "903-785-3300",
"fax_number": "903-785-3310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDLEY",
"first_name": "TANGANYIKA",
"middle_name": "LYNN",
"credential": "APRN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP140296",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "132422",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.