Adrienne Tyler Dicken, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3763 Issued in KY

Practice address

175 W Lowry LN
Suite 104
Lexington, KY 40503-3012

Phone

(859) 475-4305

NPI assigned

Sep 23, 2009

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

Master of Science

State licenses

Practice roles

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.

• Wilson Pediatric Therapy LLC

  • Early Intervention Provider Agency
  • Lexington, KY
  • NPI 1063734333
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1386978310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 HARTLAND PKWY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151516",
            "telephone_number": "859-492-3102",
            "fax_number": "866-938-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W LOWRY LN",
            "address_2": "SUITE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033012",
            "telephone_number": "859-475-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "ADRIENNE",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Diantonio, ATC
• Christopher Diaz-Cruz
• Jennifer Diblasio
• Hayden Donald Dibona, MD
• Kaitlin Jo Dick
• Reece Dicken
• Alyssa Dickens
• Richard L. Dickens, CRNA
• Daniel James Dickerson, DO
• Leona Nicole Dickerson

• Speech-Language Pathologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.