NPI age
20 years
Enumerated 2005-12-07
● Active
Type 1 · Individual
Connie E Dedmon, PNP
Dedmon is 1 of 130 nurse practitioner providers in Fort Worth and 1 of 2256 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2256 active nurse practitioner providers in Texas.
NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
4405 River Oaks Blvd
Fort Worth, TX 761142326
Mailing address
Po Box 99371
Fort Worth, TX 761990371
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1750369203 | GROUP NPI |
| 05 (TX) | 184937401 | |
| 05 (TX) | 184937403 |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.