Robert Bruce Dickinson, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201706588NP-PP Issued in OR

Practice address

983 Nissan Dr
Smyrna, TN 37167

Phone

(615) 459-1944

Fax

(615) 459-1944

NPI assigned

May 6, 2007

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.dickerson.p2@direct.medcor.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272

  WA

  Medicare reassignment NPD
• Chattanooga Center for Pain Medicine PC

  • Interventional Pain Medicine Physician
  • Hixson, TN
  • NPI 1760408207
  NPD (past)
• CHS Medical

  • Occupational Medicine Clinic/Center
  • Smyrna, TN
  • NPI 1659574077
  NPD (past)
• Comprehensive Health Services

  • Clinic/Center
  • Smyrna, TN
  • NPI 1780879965
  NPD (past)
• Morristown Pain Consultants

  dba Broadway Neck and Spine

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
  • NPI 1073605663
  NPD (past)
• Occupational Alternative and Rehabilitative Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1487743449
  NPD (past)
• Southern Rehabilitation Group, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1609965656
  NPD (past)
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1407068828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28007",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374248007",
            "telephone_number": "615-830-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 NISSAN DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-459-1944",
            "fax_number": "615-459-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9316562",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "8181",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60935771",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201706588NP-PP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "8181",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "666869",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN177126",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "131381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhar Family Medicine, PLLC
• Anitha S Dhar, M.D
• Shashi K Dhar, AU.D.,CCC-A/SLP
• Dialysis Associates, LLC (Dialysis Associates of Smyrna)
• Diana Health TN, PC
• Holly Dillon
• Temeka Dimsuke, OTR/L
• Ernest Dismuke Jr., OT R/L
• Diversicare Leasing LP (Diversicare of Smyrna)
• Diversicare of Smyrna

• Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.