Individual provider Active NPI

Denise Dawkins

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1972968428
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015040589 Issued in MO
Practice address
802 N Riverside Rd
Ste. 210
Saint Joseph, MO 64507-2502
Phone
(816) 271-6200
Fax
(816) 271-6749
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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 2015040589 MO Primary

Addresses

Primary practice location

802 N Riverside Rd
Ste. 210
Saint Joseph, MO 64507-2502

Mailing address

802 N Riverside Rd
Ste. 210
Saint Joseph, MO 64507-2502
Phone (816) 271-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20160630002256 MO Practitioner - Nurse Practitioner 8729370200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

802 N Riverside Rd
210 Mosaic Life Care
St Joseph, MO 64057-2553
Phone (816) 271-6200

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015040589MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Jun 23, 2016 Accepting new patients
Heartland Regional Medical Center CurrentSince Jun 23, 2016 Accepting new patients

Locations

802 N Riverside Rd
Ste 210
Saint Joseph, MO 64507
Phone (816) 271-1225

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

1115 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 271-7077

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

Organizations & group practices 6

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1972968428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD",
            "address_2": "STE. 210",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072502",
            "telephone_number": "816-271-6200",
            "fax_number": "816-271-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD",
            "address_2": "STE. 210",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072502",
            "telephone_number": "816-271-6200",
            "fax_number": "816-271-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015040589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.