Veniece Lynette Dickerson

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

OH-14721-101161 Issued in OH

Practice address

9500 Kenwood Rd
Blue Ash, OH 45242-6180

Phone

(513) 254-6620

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Veniece Lynette Hughes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Springs Home Care LLC

  • Home Health Agency
  • Blue Ash, OH
  • NPI 1023974151
  NPD
• Modern Silhouette

  • Clinic/Center
  • Blue Ash, OH
  • NPI 1528826963
  NPD

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1205694684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 WELCH LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403537",
            "telephone_number": "513-254-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426180",
            "telephone_number": "513-254-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "VENIECE",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "OH",
            "license": "OH-14721-101161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENIECE",
            "last_name": "HUGHES",
            "middle_name": "LYNETTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celeste V Dennis, LPCC
• Devine Nurses Homecare Associates LLC
• Rebecca Ann Devol, QMHS
• Devoted Care Assisted Living Services LLC
• Chandrasekar Dheenan, MD
• Dispatchhealth Advanced Care, LLC
• Rachel Divincenzo, PHARMD, RPH
• Dixie Care Transportation, Inc
• Michelle Dixon, OTR/L
• Margaret A. Dobson, LPCC

• Phlebology Physician in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Phlebology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.