Active NPI
Lisa Anne Dickinson, FNP
- Family Nurse Practitioner
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN117227
- Practice address
- 851 E 5TH St
Washington, MO 63090-3135 - Phone
- (636) 239-1101
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN117227 | MO | Primary |
Addresses
Primary practice location
851 E 5TH St
Washington, MO 63090-3135
Mailing address
1647 Oak Parc
Union, MO 63084-3608
Phone (636) 239-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
851 E 5TH St
Suite 328
Washington, MO 63090-3130
Phone (636) 239-1101
Hospital & facility affiliations
- Mercy Hospital Washington
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117227 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Family | Current | Accepting new patients |
| Mercy Clinic East Communities | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Interoperability endpoints
- ldickinson1046@directc.mercy.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1073739041
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053498451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 OAK PARC",
"city": "UNION",
"state": "MO",
"postal_code": "630843608",
"telephone_number": "636-239-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903135",
"telephone_number": "636-239-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "RN117227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.