Shunta L Dickerson

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1 Southaven CT
Apt. 9
Little Rock, AR 72209-5164

Phone

(501) 912-2061

NPI assigned

May 18, 2007

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

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316155849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHHAVEN",
            "address_2": "APT. 9",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72209",
            "telephone_number": "501-912-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHAVEN CT",
            "address_2": "APT. 9",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095164",
            "telephone_number": "501-912-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "SHUNTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda M Dick, MD
• Joel R Dickens, MD
• Emily Erin Dickerson, PA
• Jimmy Don Dickerson
• Myia Dickerson, DO
• Taiwan Dickerson, MHPP
• Tara Michelle Dickerson
• Ethan Royce Dickeson, DPT
• Grace Ann Dickey
• John R. E. Dickins, MD

• Day Training/Habilitation Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Day Training/Habilitation Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.