Active NPI
Tawana Rose Dickinson, MSN FNP-C
- Nurse Practitioner
- Durham, NC
National Provider Identifier
1518160282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- PENDING
- Practice address
- 2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232 - Phone
- (984) 227-8902
- NPI assigned
- Jun 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5003116 | NC | |
| Nurse Practitioner | 363L00000X | PENDING | NC | Primary |
Addresses
Primary practice location
2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Mailing address
380 Knollwood St Ste 505
Winston Salem, NC 27103-1884
Phone (336) 934-4333
Other practice location 1
Carolinas Medical Center-Rad Onc
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NC | MD | Physician Assistant |
| 5003116 | NC | MD | Family Nurse Practitioner |
Interoperability endpoints
- tdickinson@landmarkhealth-direct.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1518160282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 KNOLLWOOD ST STE 505",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031884",
"telephone_number": "336-934-4333",
"fax_number": "855-299-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 MERIDIAN PKWY STE 323",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134232",
"telephone_number": "984-227-8902"
}
],
"practiceLocations": [
{
"address_1": "Carolinas Medical Center-Rad Onc",
"address_2": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-2272",
"fax_number": "704-355-7218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKINSON",
"first_name": "TAWANA",
"middle_name": "ROSE",
"credential": "MSN FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2026-08-16",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5003116",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.