Valerie Shephard Dickerson, M.D.
Individual provider Active NPI Family Medicine Physician · Minden, NV
NPI 1366476392 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1366476392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8354 (NV)
- Practice address
- 925 Ironwood Dr
Suite 2102
Minden, NV 89423-5178 - Phone
- (775) 445-7745
- Fax
- (775) 782-0073
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160902001394 | CA | Practitioner - Family Practice | 4587607999 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surprise Valley Health Care District | Current |
Accepting new patients | |
| Surprise Valley Health Care District | Current |
Accepting new patients | |
| Great Basin Imaging | Past | Accepting new patients | |
| Tahoe Carson Radiology Loos Et Al LTD | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/survalh-86281d9a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8354 | NV | Yes |
Addresses
Primary practice location
925 Ironwood Dr
Suite 2102
Minden, NV 89423-5178
Mailing address
PO Box 4540
Carson City, NV 89702-4540
Phone (775) 882-0430
Other providers in Minden, NV
- Ashwin T Datt
- David S Hoskins MD, LTD
- Jacqueline Day
- Edgar De Gomez
- Mackenzie Deboer
- Margaret Dixon
- DM Sheridan PLLC
- Janelle Dorangricchia
- Douglas County School District
- Lovana Dressler
All providers in Minden, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.