Katherine Ellen Dickinson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00034326 Issued in WA

Practice address

1530 Ellis St
Bellingham, WA 98225-4905

Phone

(360) 734-9095

NPI assigned

Jun 10, 2006

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

Other names 1

• Katherine Ellen Dickinson-Poteet Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1780625467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DONOVAN AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257624",
            "telephone_number": "360-961-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254905",
            "telephone_number": "360-734-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "KATHERINE",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00034326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DICKINSON-POTEET",
            "middle_name": "ELLEN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caroline Dick
• Anthony G Dickerson, RPH
• Santana Sandra Dickerson, ARNP
• Shannon McCune Dickerson, M.ED, LMHC
• Shawna Dickie, LMP
• Siena Trease Dickinson, MA61578997
• James Brad Diestelhorst, M.D.
• Gary L. Dietz, O.D.
• Jane S Dieveney-Hinkle, DDS
• Florence M Dijulio, LICSW

• Family Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.