Dickerson Solution

Primary specialty

Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X

Legal business name

DICKERSON SOLUTION

Doing business as

PF Elite

Practice address

3490 Renner Dr
Fortuna, CA 95540-3105

Phone

(707) 740-3893

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dionysos Dickerson, RTNPI 1023774908

Title

Ceo

Phone

(707) 740-3893

Specialties & licenses 7

Addresses

Other names 1

• PF Elite Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dionysos Durand Dickerson, RPFT

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Fortuna, CA
  • NPI 1023774908
  NPD Authorized official
• Vanessa Nicole Dickerson, RN

  • Registered Nurse
  • Fortuna, CA
  • NPI 1194467407
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1508508599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403105",
            "telephone_number": "707-740-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403105",
            "telephone_number": "707-740-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DIONYSOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-740-3893",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PF Elite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent C Dawson, P.A.
• Imelda De Los Santos
• Danilo Santiago Dela Cruz
• Andrew Marcus Delgado, LCSW
• Stephanie L Demara, M.D.
• Dionysos Durand Dickerson, RPFT
• Vanessa Nicole Dickerson, RN
• Patricia Dillon, RN
• Stephanie S Dittmer, MD
• Mary Terese Dodd, FNP

• Registered Respiratory Therapist in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Registered Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.