Active NPI
Chendra Patrece Dikko, AGAC NP
- Gerontology Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.0028813
- Practice address
- 4400 Easton CMNS Ste 125
Columbus, OH 43219-6223 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Oct 6, 2021
- Last updated
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0028813 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0028813 | OH | Primary |
Addresses
Primary practice location
4400 Easton CMNS Ste 125
Columbus, OH 43219-6223
Mailing address
PO Box 11167
Fort Wayne, IN 46856-1167
Phone (574) 546-1900
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 375-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247
3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081
4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247
828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0028813 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Ecs, Inc | Nurse Practitioner | Current | Accepting new patients |
| Extended Care Specialists, Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus Wholehealth Midwest Inc | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs - Kentucky, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus WH Midwest Care, LLC | Nurse Practitioner | Current | Accepting new patients |
| Guidestar Eldercare Corp -Oh | Nurse Practitioner | Current | Accepting new patients |
| Eventus Ecs - Ohio LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3512 Stellhorn Rd
Fort Wayne, IN 46815
150 W Market St
Ste 400
Indianapolis, IN 46204
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 566-2035
8398 Mississippi St
Fl 2
Merrillville, IN 46410
922 State St
Fl 4
Bowling Green, KY 42101
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
990 Bayley Dr
Cincinnati, OH 45233
Phone (513) 347-5500
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900
3958 Brown Park Dr
Ste D
Hilliard, OH 43026
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Columbus, IN
- NPI 1386252757
KY, Nurse Practitioner, OH
-
- Adult Medicine Physician
- Merrillville, IN
- NPI 1134146079
KY, Nurse Practitioner, OH
-
- Nurse Practitioner
- Hilliard, OH
- NPI 1972321842
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1962023424
Nurse Practitioner
-
- Nurse Practitioner
- Lexington, KY
- NPI 1396563276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1669134847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11167",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468561167",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EASTON CMNS STE 125",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196223",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-375-0054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIKKO",
"first_name": "CHENDRA",
"middle_name": "PATRECE",
"credential": "AGAC NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0028813",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.0028813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.