Breana Dickson, MD,DO,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CNA2002094 Issued in IN

Practice address

2760 S East St Apt 103
Indianapolis, IN 46225-2276

Phone

(317) 986-1260

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By the provider in NPPES

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

Other names 1

• Bre'Ana E-Shae Dickson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Treasured Care LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1689452674
  NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1871170746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S EAST ST APT 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462252276",
            "telephone_number": "317-986-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S EAST ST APT 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462252276",
            "telephone_number": "317-986-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "BREANA",
        "credential": "MD,DO,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "CNA2002094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRE'ANA",
            "last_name": "DICKSON",
            "middle_name": "E-SHAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Dickey
• Jacob John Dickinson, M.D.
• Jennifer L Dickinson, NP
• Sarah Dickinson
• Dennis K Dickos, MD
• Carolyn A Dickson, RDN
• Kinley Dickson
• Kristi S. Dickson, MD
• Mary Ellen Dickson, BCBA
• Didi LLC

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.