Active NPI
Shalonda Dickey
- Personal Care Attendant
- Mangum, OK
National Provider Identifier
1700340197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 201 W Madison St
Mangum, OK 73554-1811 - Phone
- (580) 782-2703
- NPI assigned
- Jan 30, 2019
- Last updated
- Jan 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
201 W Madison St
Mangum, OK 73554-1811
Mailing address
201 W Madison St
Mangum, OK 73554-1811
Phone (580) 782-2703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 736021103 | Other | OK | PUBLIC SCHOOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mangum Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Mangum, OK
- NPI 1356706303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1700340197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MADISON ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735541811",
"telephone_number": "580-782-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MADISON ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735541811",
"telephone_number": "580-782-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "SHALONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC SCHOOL",
"identifier": "736021103",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mangum, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.