CAROL ANN DICKERSON (NPI# 1568434173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568434173 |
| Entity Type | Individual |
| Full Name | CAROL ANN DICKERSON |
| Credential | ARNP |
| Practice Address |
8301 State Line Rd #100 Kansas City MO 64114-2025 |
| Practice Telephone | 8162766450 |
| Practice Fax Number | 8162766455 |
| Mailing Telephone | 8162766450 |
| Mailing Fax Number | 8162766455 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
104716 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104871151 | Carol S Dickerson | Social Worker | 33 E Jackson St, Marshall, MO 65340-2153 | 2006-05-24 |
| 1588145767 | Carol Dickerson | Speech-Language Pathologist | 144 Washington Rd, Edgewater, MD 21037-1412 | 2018-08-24 |
| Street Address |
8301 STATE LINE RD #100 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497290787 | Rebecca Sue Baxter | Counselor | 8301 State Line Rd, Suite 205, Kansas City, MO 64114-2025 | 2016-12-22 |
| 1265813281 | Prescription Management Associates | Pharmacy | 8301 State Line Rd, Suite 104, Kansas City, MO 64114-2025 | 2015-06-16 |
| 1215327234 | Midwife Parnters In Women's Wellness, LLC | Advanced Practice Midwife | 8301 State Line Rd, Gb, Kansas City, MO 64114-2025 | 2015-01-28 |
| 1316352206 | Prescription Management Associates LLC | Pharmacy | 8301 State Line Rd, Suite 104, Kansas City, MO 64114-2025 | 2014-06-30 |
| 1073926804 | Second Wind Counseling & Consulting | Early Intervention Provider Agency | 8301 State Line Rd, Suite 200, Kansas City, MO 64114-2025 | 2014-06-10 |
| 1558787226 | Mhs--hh Care, LLC | Home Health | 8301 State Line Rd, Suite 102, Kansas City, MO 64114-2025 | 2014-03-05 |
| 1740616200 | Bethany Butler Myers LLC | Social Worker | 8301 State Line Rd, Suite 200, Kansas City, MO 64114-2025 | 2013-09-16 |
| 1699108761 | Bethany Butler Myers | Social Worker | 8301 State Line Rd, Suite 200, Kansas City, MO 64114-2025 | 2013-08-13 |
| 1083055743 | Zest of Life, LLC. | Community/Behavioral Health | 8301 State Line Rd, Suite 216, Kansas City, MO 64114-2025 | 2013-07-10 |
| 1114279452 | Js Holswade Counseling LLC | Counselor | 8301 State Line Rd, Ste 205, Kansas City, MO 64114-2025 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1053778787 | Kelly Bush | Nurse Practitioner | 4400 Broadway, Suite 520, Kansas City, MO 64111-3498 | 2016-01-26 |
| 1598122863 | Elizabeth B Kay | Nurse Practitioner | 1500 Meadow Lake Pkwy, Ste 200, Kansas City, MO 64114-1600 | 2016-01-18 |
| 1568573103 | Joseph Caraway | Nurse Practitioner | 5400 N Oak Trfy, Ste 100, Kansas City, MO 64118-6489 | 2006-08-31 |
| 1063454452 | Jacquelyn E Boan | Nurse Practitioner | 11201 Colorado Ave, Kansas City, MO 64137-2502 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1386995595 | Kristina M Nelson | Nurse Practitioner | 5225 Mid America Plz, Saint Louis, MO 63129-0002 | 2012-09-27 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.