Kathleen Laverne Dicks

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

R49294 Issued in SC

Practice address

222 Beaufort St NE
Aiken, SC 29801-4476

Phone

(803) 642-1687

NPI assigned

Mar 17, 2022

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of South Carolina

  dba SC Dhec

  • Public Health or Welfare Agency
  • Aiken, SC
  • NPI 1144318262
  NPD
• State of South Carolina Comptroller General

  dba Veteran Village

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1366190464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BEAUFORT ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014476",
            "telephone_number": "803-642-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BEAUFORT ST NE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014476",
            "telephone_number": "803-642-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKS",
        "first_name": "KATHLEEN",
        "middle_name": "LAVERNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "SC",
            "license": "R49294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professional of South Carolina, P.C.
• Designed by Nature, Inc
• Crystal Marie Devivo, PA-C
• John Howard Dewitt, M.D.
• Francis J Dibona, M.D.
• James Daniel Dillon Jr., MD
• Madison Danielle Dinkins, DDS
• Divine Care Home Care Services LLC (Divine Care)
• Divine Restoration Hair Services LLC
• Roosevelt Dixon

• Ambulatory Women's Health Care Registered Nurse in Aiken, SC
• Providers in Aiken, SC by specialty
• Ambulatory Women's Health Care Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.