Organization Active NPI

Ronda Dickinson LLC

  • Adult Health Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1104415256
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
RONDA DICKINSON LLC
Practice address
2785 River Bluff Dr
Alpena, MI 49707-7737
Phone
(989) 657-2680
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Ronda Dickson, NP
Title
Owner
Phone
(989) 657-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2785 River Bluff Dr
Alpena, MI 49707-7737

Mailing address

2785 River Bluff Dr
Alpena, MI 49707-7737
Phone (989) 657-2680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1104415256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 RIVER BLUFF DR",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497077737",
            "telephone_number": "989-657-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 RIVER BLUFF DR",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497077737",
            "telephone_number": "989-657-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONDA DICKINSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-657-2680",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.