MRS. SHIRLEY ANN DICKINSON (NPI# 1659414829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659414829 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY ANN DICKINSON |
| Practice Address |
1355 State Highway 345 Potsdam NY 13676-9658 |
| Practice Telephone | 3153225584 |
| Practice Fax Number | 3153225584 |
| Mailing Telephone | 3153225584 |
| Mailing Fax Number | 3153225584 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0565186 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500565 | Shirley Laurine Dickinson | Family Medicine | 2 Upper Ragsdale Dr, Suite D-220, Monterey, CA 93940-5736 | 2006-06-27 |
| Street Address |
1355 STATE HIGHWAY 345 |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013185545 | Shirley A Dickinson | Durable Medical Equipment & Medical Supplies | 1355 State Highway 345, Potsdam, NY 13676-9658 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140576 | Anthony Cipriano | Orthotic Fitter | 130 Orinoco Dr, Brightwaters, NY 11718-1121 | 2018-10-17 |
| 1982065033 | Itamar Rosenbaum | Orthotic Fitter | 2102 63rd St, Brooklyn, NY 11204-3058 | 2016-03-17 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1538489745 | Laura Bullinger | Orthotic Fitter | 4 David St, Middletown, NY 10940-2302 | 2010-06-10 |
| 1144552142 | Necuma Schaffer | Orthotic Fitter | 683 Bedford Ave., #3, Brooklyn, NY 11206 | 2010-02-02 |
| 1538498514 | Michael Feder | Orthotic Fitter | 3063 Brighton 13th St, Brooklyn, NY 11235-5607 | 2009-12-21 |
| 1568655454 | Alex Iskhakov | Orthotic Fitter | 3922 18th Ave, Brooklyn, NY 11218-5804 | 2007-08-23 |
| 1548467665 | Arthur Smuckler | Orthotic Fitter | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2007-07-02 |
| 1508068107 | Russell Shvartsshteyn | Orthotic Fitter | 1040 Channel Dr, Hewlett, NY 11557-2617 | 2007-06-05 |
| 1962552505 | Sara Saposh | Orthotic Fitter | 4619 18th Ave, Brooklyn, NY 11204-1293 | 2007-01-12 |
| 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.