Nicole Dickens, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13406R Issued in LA

Practice address

114 Representative Row
Suite B
Lafayette, LA 70508-3878

Phone

(337) 769-7001

NPI assigned

Jan 16, 2006

Reactivated

Oct 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Creighton University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Dickens Inspired LLC

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1922499698
  Medicare reassignment NPD Authorized official
• TMS of Acadiana LLC

  • Adult Mental Health Clinic/Center
  • Lafayette, LA
  • NPI 1659623098
  Medicare reassignment
• Fresh Start, Inc.

  • Clinic/Center
  • Lafayette, LA
  • NPI 1588610554
  NPD (past)
• Springlake Behavioral Health Bunkie LLC

  • Psychiatric Hospital
  • Bunkie, LA
  • NPI 1184044430
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1376522516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 REPRESENTATIVE ROW",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 REPRESENTATIVE ROW",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083878",
            "telephone_number": "337-769-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2015-06-23",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "13406R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn M. Diaz, NP
• Mary Najwa Dibbs, LPC
• Michael Ziad Dibbs, M.D.
• Paul Khaled Dibbs, M.D.
• Dickens Inspired LLC
• Tory Diehl, LBA
• Sarah Michelle Diesi
• Kathryn Dietzway, LCSW
• George W. Diggs Jr., M.D.
• Donnie Dillon Jr.

• Psychiatry Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.