David R Dickens, CNS-P/MH

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

AP102066 Issued in TX

Practice address

3901 E Stan Schlueter Loop Ste 202
Killeen, TX 76542-4554

Phone

(254) 634-4244

Fax

(254) 634-8809

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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 and National Provider Directory roles.

• Manfred & Associates, PA

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1093845588
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1295764652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "CNS-P/MH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "508035",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP102066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096202902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya June Dewey
• Serena Dhande
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• Kami Diaz, LCSW-S
• Anna Dick, PNP
• McKenzie Dickey
• David Dickinson, MD
• Janelle Marie Dietze, RD CSG LD
• Rebecca Ann Dineley
• Divine Care Transportation

• Psychiatric/Mental Health Clinical Nurse Specialist in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.