Cheri Denise Dickenson, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024166505 Issued in VA

Practice address

516 Innovation Dr Ste 102
Chesapeake, VA 23320-3866

Phone

(833) 510-4357

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625
  Medicare reassignment NPD
• Brightview LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1649786260
  Medicare reassignment
• Mark a. Bradley

  dba Virginia Center for Integrative Medicine

  • Internal Medicine Physician
  • Weber City, VA
  • NPI 1487740049

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1629162227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 INNOVATION DR STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203866",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Lynn Garden Dr.",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37660",
            "country_code": "US",
            "telephone_number": "423-247-8811",
            "fax_number": "423-247-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKENSON",
        "first_name": "CHERI",
        "middle_name": "DENISE",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "APN00000010969",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024166505",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024166505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TEN 33456911",
            "identifier": "33456911",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne McNeill, MD, PLLC (Cornerstone Pediatrics)
• Diaz Foot & Ankle Center PLLC
• Rex Galam Diaz, DPM
• Steven Edward Dichiara, CRNA
• Carolyn Monique Dickens
• Evelyn Lorraine Dickson, VOLUNTEER DRIVER
• Emily Didio, FNP-BC
• Kate Digeronimo, PA-C
• Digitrace Care Services Inc
• Digitrace Care Services, Inc

• Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.

Verify at the official NPI Registry.