CONNIE E DEDMON PNP
NPI 1467437954
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since December 07, 2005
4405 RIVER OAKS BLVD, FORT WORTH, TX 76114(817) 624-1770(817) 625-1287 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connie E Dedmon Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE E DEDMON PNP (NPI 1467437954) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (230593) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1467437954
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCONNIE E DEDMONCredential: PNP
Location Address4405 RIVER OAKS BLVDFort Worth, TX 76114-2326
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Fax(817) 625-1287
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 3, 2012
NPI 1467437954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · 230593
4405 RIVER OAKS BLVD, Fort Worth, TX 76114

Other Identifiers 4

Medicaid184937403TX
Medicaid184937401TX
Medicare PIN8J3335
Other1750369203Group Npi

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Acute Care)
4405 RIVER OAKS BLVD
FT WORTH, TX 76114
Pediatrics
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Speech-Language Pathologist
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Pediatrics)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114
Nurse Practitioner (Family)
4405 RIVER OAKS BLVD
FORT WORTH, TX 76114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Dedmon's NPI number?

The NPI number for Connie Dedmon is 1467437954. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Connie Dedmon located?

Connie Dedmon practices at 4405 River Oaks Blvd, Fort Worth, TX 76114. The listed phone number is (817) 624-1770.

What is Connie Dedmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Connie Dedmon was last updated on April 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.