Tiffany Rhett Dickinson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

230351 Issued in AR

Practice address

3210 N Blue Star Dr
Fayetteville, AR 72703-3678

Phone

(479) 283-2871

NPI assigned

Jan 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1679384549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8162",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030003",
            "telephone_number": "479-283-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N BLUE STAR DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033678",
            "telephone_number": "479-283-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Harrison Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "AR",
            "postal_code": "727459052",
            "country_code": "US",
            "telephone_number": "479-318-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "TIFFANY",
        "middle_name": "RHETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "230351",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AR",
            "license": "R078489",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R078489",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "AR",
            "license": "R078489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Diaz, COTA
• Harrison Dickens
• Amanda Dickerson, PTA
• James Michael Dickerson, D.C.
• Megie Kathleen Dickinson, M.S. CCC-SLP
• Dickson Street Clinic
• Ernestine Dickson, MSW, LCSW
• Jonathan David Dickson, PA-C
• Dawn Allyson Didier, ATC, LAT
• Shawna Kay Digby, RN, MNSC

• Family Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.