Individual provider Active NPI

Alycia Thompson Dickens, F.N.P.

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1245203983
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024143467 Issued in VA
Practice address
1001 Monticello Ave Ste 100
Norfolk, VA 23510-2564
Phone
(757) 346-5770
Fax
(866) 292-0928
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001143467 VA
Family Nurse Practitioner 363LF0000X 0024143467 VA Primary

Addresses

Primary practice location

1001 Monticello Ave Ste 100
Norfolk, VA 23510-2564

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 366-0134

Other identifiers 7

IdentifierTypeStateIssuer
PAROtherVAUSA MANAGED CARE
PAROtherVACORVEL/CORCARE
PAROtherVAMULTIPLAN
007785551MedicaidVA
-032OtherVATRICARE/CHAMPUS
93552NOtherVASENTARA OPTIMA
PAROtherVAVIRGINIA HEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000519 VA Practitioner - Nurse Practitioner 8921140898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

6315 N Ctr Dr
Suite 100
Norfolk, VA 23502-0010
Phone (757) 346-5770

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001143467VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health Inc. CurrentSince Sep 30, 2019 Accepting new patients
Can Community Health, Inc. Family CurrentSince Sep 30, 2019 Accepting new patients
Charles F. Lovell, Jr., M.D., Facp, P.C. Past Accepting new patients

Locations

9040 Town Center Pkwy
Ste 200
Lakewood Ranch, FL 34202

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

6315 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 227-8675

Interoperability endpoints

  • Direct secure messaging: alycia.dickens@can.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1245203983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-366-0134",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MONTICELLO AVE STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102564",
            "telephone_number": "757-346-5770",
            "fax_number": "866-292-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "ALYCIA",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001143467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024143467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007785551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-032",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "93552N",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.