MS. CLARICE Y. DICKS (NPI# 1558365825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558365825 |
| Entity Type | Individual |
| Full Name | MS. CLARICE Y. DICKS |
| Credential | P.A.- C. |
| Practice Address |
2161 Lexington Rd 1st Floor, Suite 5 Richmond KY 40475-7952 |
| Mailing Address |
2161 Lexington Rd Richmond KY 40475-7952 |
| Practice Telephone | 8596267794 |
| Practice Fax Number | 8596264420 |
| Mailing Telephone | 8596267794 |
| Mailing Fax Number | 8596264420 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA460 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95901005 | 05 | |
| KY | GROUP MEDICARE | 183935 | 01 |
| KY | GROUP MEDICAID | 35001775 | 01 |
| Street Address |
2161 LEXINGTON RD 1ST FLOOR, SUITE 5 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-7952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799177 | Rose Bowling, LLC | Clinic/Center | 2161 Lexington Rd, Richmond, KY 40475-7952 | 2005-06-02 |
| 1760870307 | Jennifer Maupin | Nurse Practitioner | 2161 Lexington Rd, Floor 1 Suite 5, Richmond, KY 40475 | 2015-01-06 |
| 1023457884 | Lab One of Ohio Inc | Clinical Medical Laboratory | 2161 Lexington Rd, Suite 5, Richmond, KY 40475-9101 | 2013-06-14 |
| 1124348495 | Van Winkle Chiropractic | Chiropractor | 2161 Lexington Rd, Suite 3, Richmond, KY 40475-7952 | 2010-06-09 |
| 1376686105 | Kimberly H Sowden | Nurse Practitioner | 2161 Lexington Rd, 1st Floor Suite 5, Richmond, KY 40475-7952 | 2007-02-14 |
| 1851395701 | Jerry E. Jones | Family Medicine | 2161 Lexington Rd, Richmond, KY 40475-7952 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1306460316 | Humaira Farukh | Physician Assistant | 13903 Carncross Ct, Richmond, TX 77407-1007 | 2020-06-04 |
| 1609413640 | Abigail Marie Stone | Physician Assistant | 16 N Vine St Apt 213, Richmond, VA 23220-4565 | 2019-12-10 |
| 1881241305 | Lauren Elizabeth Desroches | Physician Assistant | 7101 Jahnke Rd # 205, Richmond, VA 23225-4017 | 2019-08-20 |
| 1720633530 | Sabrina Chica | Physician Assistant | 7405 Montrose Ave, Richmond, VA 23227-1808 | 2019-08-08 |
| 1235790569 | Emma Katherine Cahoon | Physician Assistant | 20 Chelsea Farm Dr, Richmond, RI 02898-1221 | 2019-06-26 |
| 1699249615 | Kendra Ray Long | Physician Assistant | 9119 Stony Point Pkwy Apt 4203, Richmond, VA 23235-2076 | 2019-01-12 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1164954590 | Allyson Hudson Saunders | Physician Assistant | 7101 Jahnke Rd., Suite # 260, Richmond, VA 23225 | 2017-04-03 |
| Find all providers in RICHMOND | ||||
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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.