Michelle Lea Dickerson, DNP, FNP-BC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0024188660 Issued in VA

Practice address

6372 Mechanicsville Tpke Ste 101
Mechanicsville, VA 23111-4710

Phone

(804) 522-1471

Fax

(804) 522-1472

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1629841267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13827 VILLAGE PLACE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143503",
            "telephone_number": "804-924-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE STE 101",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114710",
            "telephone_number": "804-522-1471",
            "fax_number": "804-522-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0024188660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Deus
• Meghan E Dexter, CRNA
• Aruna D. Dhru, M. D.
• Brandy Dibella, LMT
• Elizabeth Dickerson, BEHAVIOR TECHNICIAN
• Emily Dickey, OTR/L
• Kimberly Dickson
• Jennifer G Diehl, LCSW
• Jeffrey John Diepold, P.T.
• Heather Dietz, O.T.

• General Practice Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.