CONNIE GAIL DICKSON (NPI# 1306114640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306114640 |
| Entity Type | Individual |
| Full Name | CONNIE GAIL DICKSON |
| Credential | APRN |
| Practice Address |
208 S Main St Franklin KY 42134-2116 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707816477 |
| Practice Fax Number | 2706476479 |
| Mailing Telephone | (270) 781-6477 |
| Mailing Fax Number | 2706476479 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007222 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100187890 | 05 |
| Street Address |
208 S MAIN ST |
| City | FRANKLIN |
| State | KY |
| Zip Code | 42134-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033245378 | Dwight Howell Sutton | Internal Medicine | 208 S Main St, Franklin, KY 42134-2116 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1457716706 | Fast Pace Kentucky Pllc | Clinic/Center | 1475 Nashville Rd, Franklin, KY 42134 | 2015-12-30 |
| 1306263694 | Dana Marie Williams | Counselor | 608 South Main Street, Franklin, KY 42134 | 2014-03-25 |
| 1467659466 | Alexandria Bridges | Physical Therapist | 414 Robey Street, Bowling Green, KY 42134 | 2007-07-02 |
| 1902985658 | Kelly Family Dentistry Pllc | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134 | 2006-11-03 |
| 1588624670 | Roy D Reynolds | Family Medicine | 121 Memorial Dr, Franklin, KY 42134 | 2006-03-24 |
| 1528579687 | William Cody Russell | Physical Therapist | 1020 Main Street, Franklin, KY 42134 | 2017-10-17 |
| 1265951461 | Laura Michelle Nagode | Physical Therapist | 1100 Brookhaven Rd, Suite 201, Franklin, KY 42134 | 2017-09-19 |
| 1902232341 | Haley Petty | Physical Therapist | 1112 S Main St, Franklin, KY 42134 | 2013-09-17 |
| 1306288436 | Kimberlee G Sliger | Nurse Practitioner | 119 Memorial Dr, Franklin, KY 42134 | 2013-07-17 |
| Find all providers in zip 42134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787672 | Jeremy Ambrose Paluch | Nurse Practitioner | 120 Holiday Ct Ste 2, Franklin, TN 37067-1302 | 2020-10-13 |
| 1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
| 1326684788 | Jessica Bledsoe | Nurse Practitioner | 3326 Aspen Grove Dr Ste 260, Franklin, TN 37067-2866 | 2019-11-20 |
| 1407405483 | Ashley Faren Maleport | Nurse Practitioner | 501 Corporate Centre Dr Ste 400, Franklin, TN 37067-2659 | 2019-09-11 |
| 1720548415 | Shoua Dorothy Hang | Nurse Practitioner | 9379 S 35th St, Franklin, WI 53132-9151 | 2019-03-20 |
| 1528527868 | Anna Bliss Eberle | Nurse Practitioner | 221 Augusta National Ct, Franklin, TN 37069-7019 | 2019-03-16 |
| 1558834226 | Teresa Gail Triantafilu | Nurse Practitioner | 125 Cool Springs Blvd Ste 100, Franklin, TN 37067-6475 | 2019-01-06 |
| 1285132837 | Leslie Michelle Beagle | Nurse Practitioner | 325 Minute Man, Franklin, IN 46131-6600 | 2018-01-29 |
| 1629583984 | Robin Renee Holbrook | Nurse Practitioner | 714 Wayside Ct, Franklin, TN 37069-8105 | 2017-12-08 |
| 1992255764 | Ashley Deangelis Gussoni | Nurse Practitioner | 125 Cool Springs Blvd Ste 240, Franklin, TN 37067-6475 | 2016-10-05 |
| Find all providers in FRANKLIN | ||||
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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.