KELSEY DICKSON (NPI# 1801212543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801212543 |
| Entity Type | Individual |
| Full Name | KELSEY DICKSON |
| Credential | M.A. |
| Practice Address |
3665 Kearny Villa Rd Suite 101 San Diego CA 92123-1953 |
| Mailing Address |
3020 Childrens Way Mc 5018 San Diego CA 92123-4223 |
| Practice Telephone | 8589665832 |
| Mailing Telephone | 8589665832 |
| Mailing Fax Number | 8589666733 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3665 KEARNY VILLA RD SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962508481 | Rady's Children's Hospital Outpatient Psychiatry San Diego | Marriage & Family Therapist | 3665 Kearny Villa Rd, 165, San Diego, CA 92123-1953 | 2006-09-15 |
| 1851952907 | Allison Rawls | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2019-06-27 |
| 1578044012 | Neilson Chan | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-08-23 |
| 1063907038 | Page Naomi Beukelman | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-06-22 |
| 1982119293 | Yesenia C Mejia | Psychologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-12-08 |
| 1104335835 | Stephanie Keffer | Speech-Language Pathologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-09-26 |
| 1740728179 | Natasha Proa | Case Manager/Care Coordinator | 3665 Kearny Villa Rd, Suite 165, San Diego, CA 92123-1953 | 2017-02-06 |
| 1194268425 | Kimberlee Ramirez | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123-1953 | 2016-11-17 |
| 1073989380 | Brielle Williams | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123 | 2015-08-20 |
| 1871969436 | Tara Jobin | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2015-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716204 | Julianne A. Demery | Student in an Organized Health Care Education/Training Program | Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 | 2020-10-01 |
| 1649885732 | Leanne Evalyn Morancie | Student in an Organized Health Care Education/Training Program | 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 | 2020-09-15 |
| 1689288136 | Melissa Eileen Fitzgibbon | Student in an Organized Health Care Education/Training Program | 5114 63rd St, San Diego, CA 92115-1407 | 2020-09-02 |
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1861004392 | Mareena Biju | Student in an Organized Health Care Education/Training Program | 10995 Evening Creek Dr E, San Diego, CA 92128-4009 | 2020-08-17 |
| 1184235202 | Taylor G Wasko | Student in an Organized Health Care Education/Training Program | 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 | 2020-08-12 |
| 1790394245 | Elisa Melo Da Silva Smerik | Student in an Organized Health Care Education/Training Program | 3235 Loma Riviera Dr, San Diego, CA 92110-5511 | 2020-07-29 |
| 1215554076 | Ana Mohammad-zadeh | Student in an Organized Health Care Education/Training Program | 17289 Russet St, San Diego, CA 92127-2135 | 2020-06-28 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
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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.