Terra Dee Dickinson, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TEMPORARY LICENSE Issued in TX

Practice address

1302 N Shepherd Dr
Houston, TX 77008-3752

Phone

(713) 885-9899

Fax

(713) 885-9871

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Adult Gastroenterology Associates Inc

  • Gastroenterology Physician
  • Tulsa, OK
  • NPI 1306884812
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336228295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083752",
            "telephone_number": "713-885-9899",
            "fax_number": "713-885-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083752",
            "telephone_number": "713-885-9899",
            "fax_number": "713-885-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "TERRA",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "TEMPORARY LICENSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda R Dickey, M.D.
• Ryan Dickey, M.D.
• Eskedar Dickie
• Kimberly Marie Dickinson, M.D.
• Robert Stanley Dickinson, MD
• Dean R Dicks, OD
• Shena Dicks, LMSW
• Gloria Marie Dickson, M.A., CCC-SLP
• Hanna Michelle Dickson, MA, SLP-CFY
• Hannah Dickson

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• 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.