LAKEISHA YVETTE DICKINSON (NPI# 1366751703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366751703 |
| Entity Type | Individual |
| Full Name | LAKEISHA YVETTE DICKINSON |
| Credential | PSYCH TECH |
| Practice Address |
Building 301 Andrews Ave. Lyster Army Health Clinic Ft. Rucker AL 36362 |
| Practice Telephone | 3342550439 |
| Mailing Telephone | 3342550439 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
BUILDING 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC |
| City | FT. RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073945317 | Eric Joiner | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-08 |
| 1417393794 | Derek James Adams Sr. | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-05-14 |
| 1710282512 | Melissa Gail Cavanaugh | Registered Nurse | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710399464 | Sharon Velez Erickson | Specialist/Technologist, Other | 64 Red Cloud Rd, Fort Rucker, AL 36362-2324 | 2014-05-29 |
| 1235560046 | Tiffany-rae Lani Oglesby | Specialist/Technologist, Other | 795 County Road 148, New Brockton, AL 36351-8106 | 2013-12-04 |
| 1669816070 | Mary Catherine Long | Specialist/Technologist, Other | 1709 Woodview Cir, Pelham, AL 35124-1021 | 2013-04-29 |
| 1194026328 | Sonya Lee Ketcham | Specialist/Technologist, Other | 403 Dothan Rd, Abbeville, AL 36103 | 2010-11-04 |
| 1336371533 | Antonio Contes | Specialist/Technologist, Other | Bldg. 301, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2009-08-20 |
| 1639347008 | Terrence Arashi Elliott | Specialist/Technologist, Other | Andrews Ave, Bldg 301, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-02-19 |
| 1891963260 | Harvey Gayloyd Landy Sr. | Specialist/Technologist, Other | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-02-19 |
| 1386812964 | Judith Annette Barnes | Specialist/Technologist, Other | Bldg 301 Andrews Ave., Fort Rucker, AL 36362 | 2008-02-15 |
| 1275140642 | Allen Looney | Specialist/Technologist, Other | 700 19th St S, Birmingham, AL 35233-1927 | 2020-09-29 |
| 1770190217 | Robert Lewis Logan IIi | Specialist/Technologist, Other | 700 19th Street South, Neurology Sleep Service Suite 127, Birmingham, AL 35233 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | FT. RUCKER |
| Zip Code | 36362 |
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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.