Mackenzie Rae Dickinson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10269 Highway 789
Riverton, WY 82501-8829

Phone

(307) 857-9458

NPI assigned

Mar 8, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1548728587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010240",
            "telephone_number": "307-857-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10269 HIGHWAY 789",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825018829",
            "telephone_number": "307-857-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "MACKENZIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Denevan
• Dennis M. Lewis MD PA
• Dental Care of Fremont County
• Christal Devries
• Dallon Jay Dewey
• Aaron Deane Donaldson, DPM
• Austin Alan Dopp
• Dr. Josh Fowler, DMD, PC
• Dawn Marie Dubeau, PMHNP-BC
• Elevation Wellness Center LLC (Elevation Wellness)

• Community Health Worker in Riverton, WY
• Providers in Riverton, WY by specialty
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.