Active NPI
Teresa Ann Dickinson
- Counselor
- Norman, OK
National Provider Identifier
1790037802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3816 Shadow Ridge Drive
Norman, OK 73072 - Phone
- (405) 573-9905
- NPI assigned
- Oct 12, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3816 Shadow Ridge Drive
Norman, OK 73072
Mailing address
2527 W Orbit Dr
Guthrie, OK 73044-6311
Phone (405) 694-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200129170A | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1790037802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 W ORBIT DR",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730446311",
"telephone_number": "405-694-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 SHADOW RIDGE DRIVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-573-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "TERESA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200129170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.