MRS. KIMBERLY WHALEN DICKERSON (NPI# 1548546799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548546799 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY WHALEN DICKERSON |
| Credential | RN |
| Practice Address |
205 Se Wilson Ave Ste 1 Bend OR 97702-1799 |
| Mailing Address |
3570 Black Oak Rd Eugene OR 97405-4416 |
| Practice Telephone | 5413125849 |
| Mailing Telephone | 8435754355 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 201042132RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162048 | Kimberly Dickerson | Pharmacist | 922 Highway 28 By-pass, Anderson, SC 29625 | 2013-10-10 |
| 1366632119 | Kimberly Desha Dickerson | Registered Nurse | 79 Derek Ln, La Place, LA 70068-8401 | 2007-07-27 |
| 1104334259 | Kimberly Dickerson | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2018-01-10 |
| 1245274315 | Kimberly Sue Dickerson | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2006-06-16 |
| Street Address |
205 SE WILSON AVE STE 1 |
| City | BEND |
| State | OR |
| Zip Code | 97702-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659887651 | Stacy Rae Walker | Registered Nurse | 61475 Duncan Ln, Bend, OR 97702-2133 | 2017-12-28 |
| 1235655549 | Penn Burrows Wooldridge | Registered Nurse | 61618 Summer Shade Dr, Bend, OR 97702-2014 | 2017-08-17 |
| 1710423934 | Karen J Lester | Registered Nurse | 23084 Butterfield Trl, Bend, OR 97702-9610 | 2017-01-11 |
| 1770025959 | Brea Di Dato | Registered Nurse | 1500 Sw Chandler Ave, Bend, OR 97702-3237 | 2016-11-05 |
| 1831597947 | Alexandra Caley Smith | Registered Nurse | 60236 Woodside Rd, Bend, OR 97702-9449 | 2014-12-06 |
| 1619371622 | Carli Gaines | Registered Nurse | 151 Sw Shevlin Hixon Dr Ste 101, Bend, OR 97702-3232 | 2014-10-20 |
| 1881097996 | Monte Hodge | Registered Nurse | 60237 Faugarwee Cir, Bend, OR 97702-8924 | 2014-10-02 |
| 1144661786 | Geraldine V Dow | Registered Nurse | 1423 Nw 18th Pl, Bend, OR 97701-1465 | 2013-07-11 |
| 1760727465 | Jennifer Kay Davey | Registered Nurse | 55161 Munson St, Bend, OR 97707-2412 | 2012-12-06 |
| 1619274503 | Heidi Patricia Knutson | Registered Nurse | 1325 Nw Columbia St, Bend, OR 97701-2309 | 2011-02-11 |
| Find all providers in BEND | ||||
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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.