JAMES DAVIN DICKERSON (NPI# 1801839444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801839444 |
| Entity Type | Individual |
| Full Name | JAMES DAVIN DICKERSON |
| Credential | ARNP |
| Practice Address |
300 W Broadway Council Bluffs IA 51503-9045 |
| Practice Telephone | 7122567511 |
| Mailing Telephone | 7122567511 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A108066 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465564 | James Alan Dickerson | Psychologist | 125 W 2nd Ave, Hutchinson, KS 67501-5300 | 2007-04-14 |
| 1902859267 | James Michael Dickerson | Chiropractor | 2592 N Gregg Ave, Ste 1, Fayetteville, AR 72703-5543 | 2006-05-18 |
| 1851897813 | James Charles Dickerson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2018-03-30 |
| 1811204134 | James Quinton Dickerson Iv | Pharmacist | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2010-09-08 |
| 1932390184 | James Glenn Dickerson | Social Worker | 2007 State St, Washington, IN 47501-8505 | 2007-08-05 |
| 1760548036 | James Albert Dickerson II | Surgery | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-12-29 |
| 1134203144 | James F Dickerson | Dentist | 389 Main St, Salem, NH 03079 | 2006-10-25 |
| 1023004512 | James Wiley Dickerson IIi | Psychiatry & Neurology | 1200 Hilyard St, Suite S-460, Eugene, OR 97401-8122 | 2005-09-21 |
| 1073508289 | James G Dickerson Sr. | Pharmacist | 601 N 30th St, Suite 2807, Omaha, NE 68131-2137 | 2005-09-14 |
| Street Address |
300 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856303 | Kenneth D Burkhart | Family Medicine | 300 W Broadway, Ste 6, Council Bluffs, IA 51503 | 2005-10-24 |
| 1851863716 | Mae Sondra Miller | Counselor | 300 W Broadway, Council Bluffs, IA 51503-9019 | 2018-12-17 |
| 1033587704 | Ashley Paulson | Counselor | 300 W Broadway, #29, Council Bluffs, IA 51503-9019 | 2015-09-10 |
| 1265837298 | Hospice of Central Iowa | Hospice Care, Community Based | 300 W Broadway, Suite 114, Council Bluffs, IA 51503 | 2014-11-04 |
| 1316377286 | Natalie Renee Bussing | Social Worker | 300 W Broadway, Suite 107, Council Bluffs, IA 51503-9078 | 2013-11-13 |
| 1477823581 | Amanda Dawn Carpick | Social Worker | 300 W Broadway, Suite 7, Council Bluffs, IA 51503-9019 | 2012-01-05 |
| 1477837615 | Prairielands Chiropractic Clinic P.C. | Chiropractor | 300 W Broadway, Suite 712, Council Bluffs, IA 51503-9078 | 2011-10-06 |
| 1679874499 | Elaine Pierce Petersen | Social Worker | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2010-11-10 |
| 1508184581 | Diana Elizabeth Hoogestraat | Social Worker | 300 W Broadway, Council Bluffs, IA 51503-9078 | 2010-05-14 |
| 1093943391 | Kudzai Chikwava | Dentist | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124062161 | Kimberly Kay Anderson | Nurse Practitioner | 800 Mercy Dr # 210, Council Bluffs, IA 51503-3128 | 2006-06-16 |
| 1265064026 | Andrew Martin | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2020-02-10 |
| 1902299779 | Laura Howe | Nurse Practitioner | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2015-03-18 |
| 1093944233 | Marcia L. Hopkins | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2009-07-09 |
| 1952333437 | Patricia Ann Hardt | Nurse Practitioner | 500 Willow Ave, Ste 501, Council Bluffs, IA 51503-0807 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.