Elizabeth Dickeson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

540 W International Rd
Anchorage, AK 99518-1105

Phone

(907) 599-0190

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1306448857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670217",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995670217",
            "telephone_number": "907-599-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W INTERNATIONAL RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181105",
            "telephone_number": "907-599-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKESON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Dibartolo
• Gabriella Diciero
• Barbara Dick, MSW
• Nicolette Marlene Dickerhoff
• Nancy Y Dickerson, P.T.
• Gilbert Dickie, M.D.
• Jessica Leanne Dickson
• Karen Kay Didrickson, RN, BSN
• Shannon Lee Ruth Dieffenderfer
• Diehl Physical Therapy & Wellness, LLC

• Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.