Kyla Dickson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

108A N Main St
Sunderland, MA 01375-9502

Phone

(413) 665-8717

NPI assigned

Feb 7, 2019

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kyla Pawell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1417412164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVENUE C",
            "city": "TURNERS FALLS",
            "state": "MA",
            "postal_code": "013761702",
            "telephone_number": "413-522-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108A N MAIN ST",
            "city": "SUNDERLAND",
            "state": "MA",
            "postal_code": "013759502",
            "telephone_number": "413-665-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "KYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "PAWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Anne Coughlin
• Cozy Corner Nursing Home Inc
• Carrie Elizabeth Cromack
• Anne Curtis, LCSW
• Anira Dahlstrom-Hakki, M.A., CCC-SLP
• Susan E. Donner, PHD ,LICSW
• Jennifer Claire Dorval, M.ED.
• Karen Ranney Edlefsen
• Loreen Marion Emmonds, M.ED.
• Mark Alvin Felix, PSY.D.

• Community Health Worker in Sunderland, MA
• Providers in Sunderland, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.