Audrey Beth Dickman, M.ED., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003350 Issued in PA

Practice address

201 E 37TH St
Reading, PA 19606-3131

Phone

(610) 779-3060

Fax

(610) 370-0518

NPI assigned

Nov 25, 2005

Last updated

Dec 15, 2014By the provider in NPPES

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 Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quaker State Medical Services Co Inc

  • Non-Pharmacy Dispensing Site
  • Exton, PA
  • NPI 1629089578
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1437132289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WERNER ST",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651624",
            "telephone_number": "610-780-5940",
            "fax_number": "610-370-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 37TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063131",
            "telephone_number": "610-779-3060",
            "fax_number": "610-370-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "AUDREY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.ED., ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diakon Lutheran Social Ministries (Diakon Help at Home)
• Diamond Assisted Living Care LLC
• Krysten Marie Dicarne, PT, DPT
• Marlo Kay Dicello, M.S., CCC SLP
• Jon Joseph Dicerchio, D.M.D.
• Elizabeth Baker Diener, O.D.
• Doreen Dietrich-Lehman, PT MS
• Lynnette Dillard, MSW
• Kailyn Dimalanta
• Holly Ann Dimascio, PA-C

• Athletic Trainer in Reading, PA
• Providers in Reading, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.