KENNETH DAVID DIKE (NPI# 1619358322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358322 |
| Entity Type | Individual |
| Full Name | KENNETH DAVID DIKE |
| Credential | LPN |
| Practice Address |
15 Bergeron Way Stoughton MA 02072-1392 |
| Practice Telephone | 5086318222 |
| Mailing Telephone | 5086318222 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN85377 | MA | Nursing Service Providers |
| Street Address |
15 BERGERON WAY |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881076560 | Dike Kenneth | Point of Service | 15 Bergeron Way, Stoughton, MA 02072-1392 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1033663562 | David Festge | Licensed Practical Nurse | 2320 Jackson St, Unit 304, Stoughton, WI 53589-5492 | 2016-08-13 |
| 1184060063 | Katie Molnar | Licensed Practical Nurse | 320 W Taft St, Stoughton, WI 53589-1675 | 2013-05-17 |
| 1104269927 | Jodi K Herbst | Licensed Practical Nurse | 1716 Oakridge Ct, Stoughton, WI 53589-4938 | 2013-04-10 |
| 1376895854 | Elisa Lynn West | Licensed Practical Nurse | 536 W Milwaukee St, Stoughton, WI 53589-2434 | 2012-10-09 |
| 1629371968 | Kelly J Howland | Licensed Practical Nurse | 787 S Van Buren St, Stoughton, WI 53589-2398 | 2010-12-08 |
| 1376874727 | Shelby Ann Stapelfeldt | Licensed Practical Nurse | 1277 Tower Dr, Stoughton, WI 53589-3847 | 2010-01-25 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1528188646 | Tenneh Moibah Soko | Licensed Practical Nurse | 1649 Vernon St, #4, Stoughton, WI 53589-2277 | 2007-03-30 |
| 1356395206 | Nicole Ashley Poland | Licensed Practical Nurse | 519 Hannerville Rd, Stoughton, WI 53589-4318 | 2006-05-22 |
| Find all providers in STOUGHTON | ||||
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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.