Jennifer Dickerson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004522 Issued in VA

Practice address

1140 W Main St
Attn: Rehabcare
Christiansburg, VA 24073-4222

Phone

(540) 381-1742

Fax

(540) 381-1742

NPI assigned

Oct 6, 2009

Last updated

Apr 3, 2014By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1649505819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W MAIN ST",
            "address_2": "ATTN: REHABCARE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734222",
            "telephone_number": "540-381-1742",
            "fax_number": "540-381-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W MAIN ST",
            "address_2": "ATTN: REHABCARE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734222",
            "telephone_number": "540-381-1742",
            "fax_number": "540-381-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JENNIFER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward P Denious, MD
• Peter Dereus, DO
• Jesse A Deskins
• Jill A Devlin, DO
• Courtney Dickerson, PHARMD
• John Thomas Dickerson III, DC
• Judy B Diggs
• Diana Ditty
• Mustali M Dohadwala, MD
• Sandhya C Donepudi, MD

• Speech-Language Pathologist in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.