Individual provider Active NPI

Lakeisha Yvette Dickinson, PSYCH TECH

  • Other Specialist/Technologist
  • Ft. Rucker, AL
National Provider Identifier
1366751703
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
Building 301 Andrews Ave.
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Phone
(334) 255-0439
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

Building 301 Andrews Ave.
Lyster Army Health Clinic
Ft. Rucker, AL 36362

Mailing address

Building 301 Andrews Ave.
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Phone (334) 255-0439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1366751703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 301 ANDREWS AVE.",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 301 ANDREWS AVE.",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FT. RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "LAKEISHA",
        "middle_name": "YVETTE",
        "credential": "PSYCH TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.