Darci Dickison, LATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-2973 Issued in NC

Practice address

48380 US 52
Misenheimer, NC 28108-2810

Phone

(704) 356-0639

NPI assigned

Aug 21, 2017

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

State licenses

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.

• Pfeiffer University Sports Medicine

  • Student in an Organized Health Care Education/Training Program
  • Misenheimer, NC
  • NPI 1215309687
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1780100750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "MISENHEIMER",
            "state": "NC",
            "postal_code": "281090960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48380 US 52",
            "city": "MISENHEIMER",
            "state": "NC",
            "postal_code": "281082810",
            "telephone_number": "704-356-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKISON",
        "first_name": "DARCI",
        "credential": "LATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Hunter Breckenridge
• Daryl Bruner, LPC, NCC
• Carolinas Physicians Network Inc (Pfeiffer Health Services)
• Brandon Scott Johnson, LAT, ATC
• Pfeiffer University Sports Medicine
• Stanly Medical Services (Pfeiffer Health Services)
• Hollis Theard, ATC, LAT

• Athletic Trainer in Misenheimer, NC
• Providers in Misenheimer, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.