Raeanne Renae Dickson
Individual provider Active NPI Community Health Worker · Pahrump, NV
NPI 1134835515 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1134835515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 311 S Frontage Rd Ste 106
Pahrump, NV 89048-4684 - Phone
- (775) 764-1528
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ronald Pak PSYD, LLC | Current |
Accepting new patients |
Locations
311 S Frontage Rd
Ste 106
Pahrump, NV 89048
Phone (702) 981-0735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
311 S Frontage Rd Ste 106
Pahrump, NV 89048-4684
Mailing address
311 S Frontage Rd Ste 106
Pahrump, NV 89048-4684
Phone (702) 981-0735
Other providers in Pahrump, NV
- Desert View Regional Medical Center Holdings, LLC
- Kevin Deuk
- Jessica Lynn Devine
- Marina Diaz
- Vanessa Diaz
- John Matthew Dimuro
- Jennifer Leigh Dion
- Isabelle Melia Diranna
- Courtney Discenza
- Peter P Doan
All providers in Pahrump, NV · Community Health Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.