MRS. AVA MICHELLE DIRICKSON


Address: 101 Coliseum Blvd, Montgomery, AL 36109-2707
Phone: 3342797830

MRS. AVA MICHELLE DIRICKSON (NPI# 1700122553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700122553
Entity Type Individual
Full Name MRS. AVA MICHELLE DIRICKSON
Other Name MRS. AVA SPURLOCK DIRICKSON
Credential RN
Practice Address 101 Coliseum Blvd
Montgomery
AL 36109-2707
Mailing Address 101 Coliseum Boulevard
Montgomery
AL 36109
Practice Telephone 3342797830
Mailing Telephone 3342797830
Enumeration Date 2012-12-26
Last Update Date 2012-12-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
1-080766 AL Nursing Service Providers

Office Location

Street Address 101 COLISEUM BLVD
City MONTGOMERY
State AL
Zip Code 36109-2707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447383450 Ashok Shah Psychiatry & Neurology 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-03-13
1689116162 Rebecca Cornwell Behavioral Analyst 101 Coliseum Blvd, Montgomery, AL 36109-2707 2016-11-15
1487829917 Montgomery Area Mental Health Authority Inc Clinic/Center 101 Coliseum Blvd, Montgomery, AL 36109-2707 2008-04-25
1255539904 Crowell Anthony Lisenby Sr. Nurse Practitioner 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-07-04
1801920582 Sukumaran C Nair Psychiatry & Neurology 101 Coliseum Blvd, Montgomery, AL 36109-2707 2007-03-15

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NPI Name Taxonomy Address Enumeration
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1720537335 Cynthia Renne' Barrett Nurse Practitioner 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 2016-09-23
1780084756 Genevieve Morris Clinic/Center Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 2014-08-27
1871907568 Spencer Holaway Durham Pharmacist 615 Perry Hill Road, Montgomery, AL 36109 2014-06-20
1811256084 Philip Thomas Wilson Family Medicine 529 E Moye Dr, Montgomery, AL 36109 2012-05-09
1063744068 Healthcare On Demand, PC General Practice 4135 Atlanta Highway, Montgomery, AL 36109 2010-02-02
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1952940439 Jill Kathleen Boatwright Registered Nurse 201 Avalon Ave, Muscle Shoals, AL 35661-2805 2019-12-31
1760026108 Hilary Wright Burkett Registered Nurse Uab Community Psychiatry, 908 20th Street South Rm 487, Birmin, AL 35294 2019-10-29
1740741727 Joseph Deak Registered Nurse 500 Markaview Rd Nw, Huntsville, AL 35805-3652 2019-03-30
1558855999 Joseph Louis Davidson Registered Nurse 908 20th St S Fl 4, Birmingham, AL 35205-2610 2018-06-19
1255845376 Teria Jo Fuller Registered Nurse 908 20th St S, Birmingham, AL 35205-2610 2017-11-28
1730530536 Katina Burton Registered Nurse 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 2016-06-23
1619354982 Euclid Dudley Registered Nurse 200 University Blvd, Tuscaloosa, AL 35401-1250 2015-05-06
1871970186 Deborah Stalfort Registered Nurse 200 University Blvd, Tuscaloosa, AL 35401-1250 2015-05-06
1679980916 Christie Deanna Hale Registered Nurse 1111 Wayne Rd Nw, Suite 6, Huntsville, AL 35806-3567 2014-07-18
1609206705 Amanda E Carter Registered Nurse 2411 S Us Highway 31, Bay Minette, AL 36507-8258 2013-11-26
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Competitor

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City MONTGOMERY
Zip Code 36109

Improve Information

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Dataset Information

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.

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