Viviane Flora Dicoum, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R212329 Issued in MD

Practice address

6901 Security Blvd Ste 200
Baltimore, MD 21244-2412

Phone

(410) 837-2050

Fax

(202) 722-7785

NPI assigned

Jul 1, 2012

Last updated

Apr 29, 2026By 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

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.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chase Brexton Health Services IncGroup PAC ID 5395644835, shared by 6 NPIs, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Chase Brexton

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1912515008
  Authorized official Same address or phone
• Grace Excel Health Care Services,LLC

  • Home Health Agency
  • Worcester, MA
  • NPI 1902263510
  NPD (past) Authorized official
• JD Nursing & Management Ser

  • Home Health Agency
  • Washington, DC
  • NPI 1811940513
  NPD (past)

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1699039057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 BRIARWOOD CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081320",
            "telephone_number": "301-256-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SECURITY BLVD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442412",
            "telephone_number": "410-837-2050",
            "fax_number": "202-722-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOUM",
        "first_name": "VIVIANE",
        "middle_name": "FLORA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R212329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris C. Dickson
• Martha Tucker Dickson, PT, DPT
• Rachel Dickson
• Sadie Efia Akomah Dickson
• Miriam G Dickstein, O.T.
• Vincent James Dicriscio, PHD, ATC, CSCS
• Christina Marie Dicristofaro, RN
• Manjiri Mukund Didolkar, MD, MS
• Mukund S. Didolkar, M.D.
• Susan R Didonato, MA, LCPC

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.