Individual provider Active NPI

Getonya Taylor Dickerson, AGACNP

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1508254822
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP126934 Issued in TX
Practice address
9309 Water Bend Dr
Arlington, TX 76002-4620
Phone
(682) 429-1340
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AP126934 TX
Acute Care Nurse Practitioner 363LA2100X AP126934 TX Primary

Addresses

Primary practice location

9309 Water Bend Dr
Arlington, TX 76002-4620

Mailing address

9309 Water Bend Dr
Arlington, TX 76002-4620
Phone (682) 429-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150512001524 TX Practitioner - Nurse Practitioner 7517286669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G Mark Jenkins MD PAGroup PAC ID 5496902280, 3 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Pavilion II Suite 730
Dallas, TX 75208-2363

221 W Colorado Blvd
Suite 933
Dallas, TX 75208-2362

455 S Llewellyn Ave
Dallas, TX 75208-6473
Phone (214) 946-9898

950 Scotland Dr
Desoto, TX 75115-2057
Phone (469) 437-3560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126934TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G. Mark Jenkins, MD PA CurrentSince Oct 16, 2020 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince May 1, 2015 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

221 W Colorado Blvd
Ste 933
Dallas, TX 75208
Phone (214) 941-7200

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

950 Scotland Dr
Desoto, TX 75115
Phone (972) 709-9777

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Interoperability endpoints

  • Direct secure messaging: getonya.dickerson.1@14617.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1508254822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 WATER BEND DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024620",
            "telephone_number": "682-429-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 WATER BEND DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024620",
            "telephone_number": "682-429-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "GETONYA",
        "middle_name": "TAYLOR",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "AP126934",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP126934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.