Active NPI
Jeannie Dickens
- Student in an Organized Health Care Education/Training Program
- Bakersfield, CA
National Provider Identifier
1194145102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2525 N Chester Ave
Bakersfield, CA 93308-1770 - Phone
- (661) 868-1738
- NPI assigned
- Apr 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2525 N Chester Ave
Bakersfield, CA 93308-1770
Mailing address
P.O. Box 1000
Bakersfield, CA 93302-1263
Phone (661) 868-1738
Other practice location 1
501 W Columbus St
Bakersfield, CA 93301-1263
Phone (661) 328-0245
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194145102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1000",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933021263",
"telephone_number": "661-868-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 N CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933081770",
"telephone_number": "661-868-1738"
}
],
"practiceLocations": [
{
"address_1": "501 W Columbus St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933011263",
"country_code": "US",
"telephone_number": "661-328-0245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKENS",
"first_name": "JEANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.