Jailyn Dickson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

339182 Issued in NY

Practice address

298 E Delavan Ave
Buffalo, NY 14208-1313

Phone

(716) 256-8659

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1740889195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 E DELAVAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081313",
            "telephone_number": "716-256-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 E DELAVAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081313",
            "telephone_number": "716-256-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "JAILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "339182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin F. Dickey, RPH
• Noelle Dickey, NP
• Andrew Dickinson
• Kali Nicole Dickinson
• Laura Ann Dickinson
• Lori Dickson
• Hope Didas
• Sara Lynn Didas, NP
• Ann Marie Didio-Harbin, RN
• Samantha Didrichsen

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.