Hallie N Dickess, CDCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CDCA.179220 Issued in OH

Practice address

700 Park Ave
Ironton, OH 45638-1502

Phone

(740) 532-1613

Fax

(740) 879-0599

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2021.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1124616735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456380108",
            "telephone_number": "740-532-1613",
            "fax_number": "740-879-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381502",
            "telephone_number": "740-532-1613",
            "fax_number": "740-879-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKESS",
        "first_name": "HALLIE",
        "middle_name": "N",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.175544",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.179220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Dewitz, CDCA
• Stephanie Renee Diamond, LPN
• Kaydance Dickerson
• Casey Dickess
• Danny Dickess
• Miranda A Dickess, LISW-S
• Morgan Dilley, CDCA
• Peggy Fontaine Dilley
• Amy Dillon
• Georgia Dillon, RNC,WHNP

• All providers in Ironton, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.