Tara Dickey, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

261879 Issued in AZ

Practice address

13472 W Cottonwood St
Surprise, AZ 85374-5437

Phone

(602) 618-1826

NPI assigned

Sep 22, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1346911070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13472 W COTTONWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745437",
            "telephone_number": "602-618-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13472 W COTTONWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745437",
            "telephone_number": "602-618-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "TARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "261879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricki Diamond, DO
• Alissa Dianish
• Crystal Renee Diaz, BCBA
• Shane Dickerson, HAD
• Alexandra Marie Dickey, OTR/L
• Tristan Diep, PHARMD
• Celeste Dillon
• Stephen Douglas Dillon, PT
• Danyelle Dingle, PA-C
• Liliana Dirja, RN

• Case Management Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Case Management Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.