MS. KELLIE DARE DICKINSON (NPI# 1154555688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154555688 |
| Entity Type | Individual |
| Full Name | MS. KELLIE DARE DICKINSON |
| Credential | L.O.T |
| Practice Address |
10001 Hyde Pl River Ridge LA 70123-1521 |
| Practice Telephone | 5048310449 |
| Mailing Telephone | 5048310449 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Z10176 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Z10176 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE BOARD OF MEDICAL EXAMINERS | Z10176 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861890634 | Kellie Jo Dickinson | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2014-12-10 |
| Street Address |
10001 HYDE PL |
| City | RIVER RIDGE |
| State | LA |
| Zip Code | 70123-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780327 | Cerner Health Connections, Inc | Pharmacy | The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 | 2020-01-29 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1740703214 | Rebekah Murray Dykes | Physician Assistant | 9605 Jefferson Hwy Ste G, River Ridge, LA 70123 | 2017-07-17 |
| 1710420260 | Cindy M Tregre | Counselor | 1529 River Oaks Rd W Ste 121, New Orleans, LA 70123 | 2016-11-30 |
| 1184098725 | Tiffany Marie Banye | Case Manager/Care Coordinator | 5341 Citrus Blvd Apt L272, River Ridge, LA 70123 | 2015-11-19 |
| 1003290123 | Phoebe Rae Plaisance | Student in an Organized Health Care Education/Training Program | 1336 Hickory Ave., Apt. C, Harahan, LA 70123 | 2015-07-18 |
| 1255711495 | Chris Dysart | Physical Therapist | 1827 Hickory Ave Ste B, Harahan, LA 70123 | 2015-06-03 |
| 1184043275 | Joanna Cross-call Buckingham | Pediatrics | 9605 Jefferson Highway, River Ridge, LA 70123 | 2014-04-16 |
| 1972927259 | Cassandra Williams | Chiropractor | 844 S Clearview Pkwy Apt 209, River Ridge, LA 70123 | 2014-02-07 |
| 1770906182 | Amber Bloom | Chiropractor | 9045 Jefferson Highway, River Ridge, LA 70123 | 2014-01-22 |
| Find all providers in zip 70123 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214837 | Angela Impson | Occupational Therapist | 8039 Line Ave Ste 1b, Shreveport, LA 71106-5145 | 2020-10-30 |
| 1508472010 | Jordan Guedry Simoneaux | Occupational Therapist | 9755 Goodwood Blvd, Baton Rouge, LA 70815-4514 | 2020-09-20 |
| 1346855343 | Physiofit Physical Therapy, LLC | Occupational Therapist | 4001 General Degaulle Dr Ste B, New Orleans, LA 70114-8232 | 2020-09-15 |
| 1447863782 | Alison Beane | Occupational Therapist | 8330 Myrtlelake Dr, Baton Rouge, LA 70810-6616 | 2020-08-26 |
| 1770196164 | Mary Elizabeth Green-keys | Occupational Therapist | 2400 Canal St Rm 1m101, New Orleans, LA 70119-6535 | 2020-08-26 |
| 1538770730 | Cathleen Beth Landwehr-zelenka | Occupational Therapist | 14 Belle Grove Dr, Destrehan, LA 70047-2522 | 2020-08-11 |
| 1740807163 | Stacie Stewart Miranda | Occupational Therapist | 29849 South Magnolia St., Livingston, LA 70754-1130 | 2020-07-01 |
| 1598382434 | Laurie Mayeaux Simon | Occupational Therapist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-06-26 |
| 1912524919 | Virginia Neal | Occupational Therapist | 201 Neal Rd, Winnsboro, LA 71295-7731 | 2020-06-25 |
| 1215553334 | Tanil Thacker | Occupational Therapist | 15331 Bear Island Rd, Maurepas, LA 70449-8233 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | RIVER RIDGE |
| Zip Code | 70123 |
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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.