Active NPI
Christine Dickens, OT
- Specialist
- Nampa, ID
National Provider Identifier
1164673877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT-663
- Practice address
- 16171 N Brinson St
Nampa, ID 83687-5509 - Phone
- (208) 442-2525
- Fax
- (208) 442-2505
- NPI assigned
- Oct 1, 2008
- Last updated
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT-663 | ID | Primary |
Addresses
Primary practice location
16171 N Brinson St
Nampa, ID 83687-5509
Mailing address
16171 N Brinson St
Nampa, ID 83687-5509
Phone (208) 442-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-663 | ID | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1164673877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16171 N BRINSON ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875509",
"telephone_number": "208-442-2525",
"fax_number": "208-442-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16171 N BRINSON ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875509",
"telephone_number": "208-442-2525",
"fax_number": "208-442-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "CHRISTINE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "OT-663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.