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).
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 |
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 |
Street Address |
101 COLISEUM BLVD |
City | MONTGOMERY |
State | AL |
Zip Code | 36109-2707 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
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 |
1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
Find all providers in zip 36109 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 36109 |
Please comment or provide details below to improve the information on MRS. AVA MICHELLE DIRICKSON.
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.