Individual provider Active NPI

Erica Dickenson-Tomlinson, FNP-C

  • Family Nurse Practitioner
  • Twinsburg, OH
National Provider Identifier
1518523513
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024663 Issued in OH
Practice address
2336 Demi Dr
Twinsburg, OH 44087-1394
Phone
(216) 287-2113
Fax
(330) 998-6818
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024663 OH Primary

Addresses

Primary practice location

2336 Demi Dr
Twinsburg, OH 44087-1394

Mailing address

2336 Demi Dr
Twinsburg, OH 44087-1394
Phone (216) 287-2113

Other names 1

  • Erica Dickenson-Tomlinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220929001946 OH Practitioner - Nurse Practitioner 0345626222 Reassigns benefits to 1 organization
Practice locations: Parma, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024663OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Quest Healthcare LLC CurrentSince Jun 18, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jul 22, 2023 Accepting new patients
The Sunshine Home Current Accepting new patients
Smart Quest Healthcare, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

5357 Broadview Rd
Parma, OH 44134
Phone (216) 273-7450

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1518523513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 DEMI DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871394",
            "telephone_number": "216-287-2113",
            "fax_number": "330-998-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 DEMI DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871394",
            "telephone_number": "216-287-2113",
            "fax_number": "330-998-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENSON-TOMLINSON",
        "first_name": "ERICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DICKENSON-TOMLINSON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.