Elizabeth Dickerson, LMT, NMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MO4282 Issued in MD

Practice address

7130 Minstrel Way Ste 160
Columbia, MD 21045-5336

Phone

(704) 249-8722

NPI assigned

Jun 25, 2024

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

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1396589198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 BRADDOCK WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455336",
            "telephone_number": "704-249-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "MO4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Dichard, LCSW-C
• Tamra Shanae Dicken, RN
• Dorothea Olszewski Dickens, CNM; APRN
• Jillian Dickenski, CRNP
• Lisa Rhiannon Dickerson-Guerra, LCSW-C
• Heather Angell Dickerson, RN, BSN, CCM
• Tayla Dickerson
• Martina Dicks
• Dorcas Lisa Dickson
• Michael Dickson

• Massage Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.