Erin Dickerson, FNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

5631 Issued in TN

Practice address

1920 Kirby Pkwy
Ste 202
Germantown, TN 38138-3696

Phone

(901) 751-9997

Fax

(901) 751-1344

NPI assigned

Jan 24, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72652

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caballero Family Healthcare Group PLLC

  • General Practice Physician
  • Germantown, TN
  • NPI 1346430469
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1013330141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "STE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-9997",
            "fax_number": "901-751-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "STE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-9997",
            "fax_number": "901-751-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "5631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton Surath Nisetus Dias Perera, MD
• Nellie Quiroz Diaz, P.T.
• Emma Dicesare, CRNA
• Charlotte Jane Dick, M.D.
• Maroun T Dick, M.D.
• Paxton V. Dickson, M.D.
• Linda Bach Diep, DNP
• Walter Diggs IV, P.T., DPT
• Anna R. Dillon
• James Richard Dismukes, MD

• Family Health Clinical Nurse Specialist in Germantown, TN
• Providers in Germantown, TN by specialty
• Family Health Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.