Tasha Brooks Dickerson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101237311 Issued in VA

Practice address

304 E Leigh St
Richmond, VA 23219-1410

Phone

(804) 225-7148

Fax

(804) 225-7159

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellcomemd Richmond Clinic IncGroup PAC ID 1052677754, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: tashadickerson@dmna.allscriptsdirect.net

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.

• Wellcomemd Richmond Clinic Inc

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1154832582
  Medicare reassignment Care Compare group NPD
• Dominion Medical Associates, Inc

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1396826046

  Family Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St Mary'S Hospital of Richmond LLC

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Mary'S Hospital of Richmond LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Mechanicsville, VA
  • NPI 1457687543

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Midlothian, VA
  • NPI 1548596638

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1902132095

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1992031348

  Hospital

  Care Compare affiliation
• HCA Health Services of Virginia Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1194762294
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1255412052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235332",
            "telephone_number": "804-225-7177",
            "fax_number": "804-225-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E LEIGH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191410",
            "telephone_number": "804-225-7148",
            "fax_number": "804-225-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TASHA",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010185505",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTTIMAFAMILYCARE",
            "identifier": "98690",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PERMIER",
            "identifier": "010185505",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "186776",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "541588928",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERNHEALTH",
            "identifier": "329716",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9401772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "541588928",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "57114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VCC",
            "identifier": "10185505V",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR GROUP",
            "identifier": "C03251",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Andrea Diaz, NP-C
• Ricardo Sebastian Diaz
• Sonia Mia Diaz, MD
• Sumac Diaz, MD
• Brandon Jamal Dickens
• Morgan Stiebel Dickinson, NP
• Jane D Dicocco, DO
• Nicole Didenko
• Emina Didic
• Sarah Didomenico, MS, OTR/L, WCC, CHT

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.