SARA DICKERSON (NPI# 1659616571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659616571 |
| Entity Type | Individual |
| Full Name | SARA DICKERSON |
| Other Name | MISS SARA E DICKERSON |
| Credential | FNP-C |
| Practice Address |
29984 Ellensburg Ave Gold Beach OR 97444 |
| Mailing Address |
Po Box 493 Gold Beach OR 97444-0493 |
| Practice Telephone | 5412477084 |
| Mailing Telephone | 5412477084 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
201041867RN | OR | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F06192407 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ACADEMY OF NURSE PRACTIONERS | F06192407 | 01 |
| Street Address |
29984 ELLENSBURG AVE |
| City | GOLD BEACH |
| State | OR |
| Zip Code | 97444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609050129 | County of Curry | Home Health | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2007-12-19 |
| 1548505464 | Sally Beavers | Registered Nurse | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2012-12-04 |
| 1669717583 | Duane Connor | Registered Nurse | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460227 | Curry Health District | Clinic/Center | 94125 Fourth Street, Gold Beach, OR 97444 | 2018-06-08 |
| 1427553692 | Columbiacare Services | Clinic/Center | 29415 Russell St, Gold Beach, OR 97444 | 2018-03-28 |
| 1972951630 | Kay Minkler | Case Manager/Care Coordinator | 29836 Mary Street, Gold Beach, OR 97444 | 2016-06-02 |
| 1811305717 | Mary Chambers | Counselor | 29821 Colvin St., Gold Beach, OR 97444 | 2014-07-24 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1548600208 | Stephanie Ann Laudert | Family Medicine | Curry Medical Practice, 94220 4th Street, Gold Beach, OR 97444 | 2013-06-26 |
| 1982944047 | Marta Maya Druzdzel | Massage Therapist | 29740 Ellensburg Ave, Gold Beach, OR 97444 | 2013-02-26 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1013296920 | Merna Peterson | Counselor | 29821 Colvin, Gold Beach, OR 97444 | 2011-08-09 |
| 1780874230 | Rosa M Cole | Specialist | 94736 Scouts View, Pistol River, OR 97444 | 2007-07-31 |
| Find all providers in zip 97444 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1225698889 | Agewell Geriatrics, LLC | Nurse Practitioner | 13120 Sw Heather Ct, Beaverton, OR 97008-5612 | 2019-06-17 |
| 1760960462 | Sid Christian Keomanivong | Nurse Practitioner | 2677 Beall Ln, Central Point, OR 97502-1462 | 2018-08-03 |
| 1245611771 | Karen Musick | Nurse Practitioner | 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 | 2015-06-10 |
| 1184054546 | Nancy M Burgess Rn Msn Anp-c PC | Nurse Practitioner | 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 | 2013-11-22 |
| 1518391804 | Sally Elizabeth Kraynik | Nurse Practitioner | 1895 E Main St, Hillsboro, OR 97123-4345 | 2013-08-22 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1780855601 | Leslie West | Nurse Practitioner | 51730 Dexter St., Blue River, OR 97413-0183 | 2008-03-19 |
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | GOLD BEACH |
| Zip Code | 97444 |
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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.