Nickey Lashae Dimery, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013835 Issued in NC

Practice address

4984 US Highway 74 W
Lumberton, NC 28360-5689

Phone

(910) 785-1541

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eventus WH Southeast, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1487494811

  SC

  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392

  SC

  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Aco LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NC
  • NPI 1023796307

  SC

  Medicare reassignment NPD
• Eventus WH Southeast - South Carolina, LLC

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1790503571
  Medicare reassignment NPD
• Eventus Value Care, LLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1013680503

  SC

  Medicare reassignment
• Eventus WH PLLC Care, LLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1639990658
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1407455363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 US HIGHWAY 74 W",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283605689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 US HIGHWAY 74 W",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283605689",
            "telephone_number": "910-785-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMERY",
        "first_name": "NICKEY",
        "middle_name": "LASHAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "261373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "4984 US Highway 74 W",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283605689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dial Chiropractic Accident & Injury Center, PLLC
• Brian Scott Dial, D.C.
• Elizabeth Lowry Dial, PPOTD, OTR/L
• Michelle Locklear Dial, RN
• Debra O Dickerson, CCC-SLP
• Pascale Dimery, LCSW-A
• Angela M Dingle, RD
• Kristine Mary Dini, PT
• Direccare Behavioral Care Services, Inc
• Direccare Behavioral Services Inc.

• Family Nurse Practitioner in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.