DAWN STACKHOUSE DICKERSON (NPI# 1093088437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093088437 |
| Entity Type | Individual |
| Full Name | DAWN STACKHOUSE DICKERSON |
| Credential | M.ED, IBCLC, RLC, CD |
| Practice Address |
11137 Caminito Inocenta San Diego CA 92126-6109 |
| Practice Telephone | 8582186455 |
| Mailing Telephone | 8582186455 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
11137 CAMINITO INOCENTA |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
| 1912538232 | Karina Grant | Lactation Consultant, Non-RN | 6441 Mount Adelbert Dr, San Diego, CA 92111-3228 | 2020-01-27 |
| 1942843818 | Patricia Montserrat Lomeli Medina | Lactation Consultant, Non-RN | 4116 Jackdaw St, San Diego, CA 92103-1332 | 2019-10-23 |
| 1407328800 | Jarrah K Foster | Lactation Consultant, Non-RN | 4116 Mount Hukee Ave, San Diego, CA 92117-4732 | 2018-12-22 |
| 1023506193 | Michelle Meredith Clookie | Lactation Consultant, Non-RN | 714 San Gabriel Pl, San Diego, CA 92109-8032 | 2018-04-24 |
| 1881194553 | Marie Hobden | Lactation Consultant, Non-RN | 5694 Mission Center Rd Ste 602-461, San Diego, CA 92108-4355 | 2018-02-19 |
| 1689188153 | Leilani Jean Wilde | Lactation Consultant, Non-RN | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108-3733 | 2017-11-20 |
| 1194237859 | Virginia Jo Krula | Lactation Consultant, Non-RN | 12453 Heatherton Ct Apt 300, San Diego, CA 92128-5187 | 2017-11-02 |
| 1174920011 | Heather Shabestari | Lactation Consultant, Non-RN | 6089 Madra Ave, San Diego, CA 92120-3943 | 2014-11-20 |
| 1689075988 | Dianne Randall | Lactation Consultant, Non-RN | 4472 Heritage Glen Ln, San Diego, CA 92130-2418 | 2014-09-06 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.