DR. TAMMY K DICKINSON (NPI# 1548209265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209265 |
| Entity Type | Individual |
| Full Name | DR. TAMMY K DICKINSON |
| Credential | D.C. |
| Practice Address |
2251 Connecticut Ave S Sartell MN 56377-2486 |
| Mailing Address |
2380 Troop Dr Unit 201 Sartell MN 56377-4637 |
| Practice Telephone | 3202535220 |
| Practice Fax Number | 3202032113 |
| Mailing Telephone | 7635040395 |
| Mailing Fax Number | 7635597486 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3572 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 096225200 | 05 |
| Street Address |
2251 CONNECTICUT AVE S |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165881 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-4772 | 2005-06-22 |
| 1154920189 | Sartell Pediatrics, P.a. | Pediatrics | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2020-10-21 |
| 1164052718 | Callie Sahr | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2020-01-23 |
| 1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
| 1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
| 1386195659 | Chelsea Victoria Domeier | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-10-20 |
| 1700334851 | Amanda Walters | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-09-19 |
| 1861844482 | Brittany Joy Gordon | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-07-07 |
| 1447618095 | Kassie Scott | Dental Therapist | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-02-10 |
| 1033582259 | Lauren Milovitch-sera | Physical Therapist | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-2486 | 2015-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083152078 | Uvini Amanthi Demuth | Chiropractor | 71 County Road 120 Ste 300, Sartell, MN 56303-4924 | 2017-02-09 |
| 1962542126 | Michael M Svensson | Chiropractor | 50 14th Ave E, Sartell, MN 56377-4651 | 2007-02-07 |
| 1003977265 | Jeffrey John Sailer | Chiropractor | 234 Pinecone Rd Ste B, Sartell, MN 56377-2504 | 2006-12-12 |
| 1790713774 | Cheryl J Carlson | Chiropractor | 2177 Troop Dr, Sartell, MN 56377-4563 | 2006-06-29 |
| 1821083957 | Chad F Spaulding | Chiropractor | 2251 Connecticut Avenue S, Hp Central Mn Clinics, Sartell, MN 56377-2486 | 2005-09-14 |
| 1538168687 | Stephanie Elaine Anderson Smith | Chiropractor | 161 19th St S Suite 101, 360 Chiropractic, Sartell, MN 56377 | 2005-07-20 |
| 1962400275 | Jon M Anderson Dc, Ltd | Chiropractor | 161 19th St S, Suite 101, Sartell, MN 56377-2153 | 2005-07-11 |
| 1043217706 | Michael Jude Milbauer | Chiropractor | 100 2nd St S, Sartell, MN 56377-1977 | 2005-07-07 |
| 1548266711 | Brent David Venables | Chiropractor | 161 19th St S Ste 101, Sartell, MN 56377-2555 | 2005-06-22 |
| 1346864311 | Demuth Spinal Care & Concussion Center | Chiropractor | 71 County Road 120 Ste 300, Sartell, MN 56303-4924 | 2020-06-04 |
| Find all providers in SARTELL | ||||
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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.