STACEY DAWN DICKENSON (NPI# 1457962771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457962771 |
| Entity Type | Individual |
| Full Name | STACEY DAWN DICKENSON |
| Practice Address |
1320 Galford Run Rd Dunmore WV 24934-9170 |
| Mailing Address |
501 Wilson Ln Elkins WV 26241-5216 |
| Practice Telephone | 3046369326 |
| Mailing Telephone | 3046369326 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700978319 | Stacey D Dickenson | Pediatrics | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-09-29 |
| Street Address |
1320 GALFORD RUN RD |
| City | DUNMORE |
| State | WV |
| Zip Code | 24934-9170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022713 | Trevor Hammons | Technician | 1030 Hevener Rd, Dunmore, WV 24934-9141 | 2020-08-07 |
| 1841897543 | Melissa Jenkins | Technician | 3087 Potomac Highlands Trl, Dunmore, WV 24934-9144 | 2020-10-06 |
| 1043567456 | Community Care of West Virginia, Inc. | Clinic/Center | Rr 1 Box 133a, Dunmore, WV 24934-9708 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1265032478 | Kyle Sibio Joyce | Physical Therapy Assistant | 105 Maloney St, Dunmore, PA 18512-3158 | 2020-10-27 |
| 1841897543 | Melissa Jenkins | Technician | 3087 Potomac Highlands Trl, Dunmore, WV 24934-9144 | 2020-10-06 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1063022713 | Trevor Hammons | Technician | 1030 Hevener Rd, Dunmore, WV 24934-9141 | 2020-08-07 |
| 1124642152 | Lindsay M Seamon | Speech-Language Pathologist | 1527 Electric St, Dunmore, PA 18509-2046 | 2020-06-05 |
| 1255953279 | Prine Medical Inc | Durable Medical Equipment & Medical Supplies | 414 E Drinker St Ste A, Dunmore, PA 18512-2469 | 2020-05-13 |
| 1659993673 | Rostko Dme Inc | Durable Medical Equipment & Medical Supplies | 414 E Drinker St Ste B, Dunmore, PA 18512-2469 | 2020-05-13 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1376186478 | Jenna Lopatka | Social Worker | 618 1/2 Throop St, Dunmore, PA 18512-2504 | 2019-10-21 |
| Find all providers in DUNMORE | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897543 | Melissa Jenkins | Technician | 3087 Potomac Highlands Trl, Dunmore, WV 24934-9144 | 2020-10-06 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1063022713 | Trevor Hammons | Technician | 1030 Hevener Rd, Dunmore, WV 24934-9141 | 2020-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.