CHERI DENISE DICKENSON (NPI# 1629162227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629162227 |
| Entity Type | Individual |
| Full Name | CHERI DENISE DICKENSON |
| Credential | ANP |
| Practice Address |
208 Lynn Garden Dr. Kingsport TN 37660 |
| Practice Telephone | 4232478811 |
| Practice Fax Number | 4232475864 |
| Mailing Telephone | 4232478811 |
| Mailing Fax Number | 4232475864 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024166505 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
APN00000010969 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | P-TEN 33456911 | 33456911 | 01 |
| Street Address |
208 LYNN GARDEN DR. |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831330067 | Apex Healthcare | Family Medicine | 208 Lynn Garden Dr., Kingsport, TN 37660-3191 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719867 | Linda S, Dial | Clinical Nurse Specialist | 1301 Medical Center Drive Tvc, Nashville, TN 37232-0001 | 2020-01-15 |
| 1053897728 | Teresa Duncan Webb | Clinical Nurse Specialist | 3045 Boogertown Rd, Sevierville, TN 37876-8860 | 2018-07-16 |
| 1356896377 | Shawn Green | Clinical Nurse Specialist | 5932 Woodlands Ave, Nashville, TN 37211-7536 | 2016-08-19 |
| 1780095109 | Mark Vann Fnp | Clinical Nurse Specialist | 115 N Woodland St, Manchester, TN 37355-1573 | 2014-05-20 |
| 1487083440 | Robin A Chappell | Clinical Nurse Specialist | 143 Old Hickory Blvd, South Fulton, TN 38257-2607 | 2013-11-10 |
| 1720325830 | Luisa Fernanda Leal | Clinical Nurse Specialist | 390 Harding Place Suite 102, Nashville, TN 37211-4770 | 2013-01-09 |
| 1144559899 | Nila Jean Lawson | Clinical Nurse Specialist | 200 Hudson, Memphis, TN 38152-0001 | 2009-12-09 |
| 1245394428 | Donna P. Sinclair | Clinical Nurse Specialist | 115 Clifty Village Ln, Paris, TN 38242-9177 | 2006-12-21 |
| 1013543354 | Tracy Maurice Abney | Clinical Nurse Specialist | 6236 Stage Rd, Bartlett, TN 38134-3726 | 2020-03-18 |
| 1750835724 | Mittal Kidney and Dialysis | Clinical Nurse Specialist | 300 S Walnut Bend Rd, Ste 12, Cordova, TN 38018-7293 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
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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.