Active NPI
Morgan Lacey Dickerson
- Occupational Therapist
- Kimball, NE
National Provider Identifier
1477316701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2571
- Practice address
- 255 W 4TH St
Kimball, NE 69145-1706 - Phone
- (308) 235-1953
- NPI assigned
- Jan 31, 2024
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2571 | NE | Primary |
Addresses
Primary practice location
255 W 4TH St
Kimball, NE 69145-1706
Mailing address
407 S Oak St
Kimball, NE 69145-1544
Phone (308) 250-3482
Other names 1
- Morgan Lacey Dykman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2571 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1477316701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S OAK ST",
"city": "KIMBALL",
"state": "NE",
"postal_code": "691451544",
"telephone_number": "308-250-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W 4TH ST",
"city": "KIMBALL",
"state": "NE",
"postal_code": "691451706",
"telephone_number": "308-235-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "MORGAN",
"middle_name": "LACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "DYKMAN",
"middle_name": "LACEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kimball, NE
- Trevor Wright Bush, MD
- Tonia L Copeland
- County of Kimball (Kimball County Transit Service)
- Cowgirls Care, LLC (Preferred Care At Home of Wyobraska)
- Creative Care Solutions, LLC (Hometown Medical Group)
- Alexis D Dickson, RBT
- Holly Faye Dobrinski, APRN-NP
- Christine Ellen Douglas, RD, LMNT, LD
- Liea Lynne Louise Evans
- Kirk Alan Evertson, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.