Individual provider Active NPI

Brittney Tierra Dickey, RN

  • Home Health Registered Nurse
  • Peoria, IL
National Provider Identifier
1891578431
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
041.535145 Issued in IL
Practice address
8416 N Knoxville Ave Ste B
Peoria, IL 61615-2085
Phone
(309) 706-5043
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041.535145 IL Primary

Addresses

Primary practice location

8416 N Knoxville Ave Ste B
Peoria, IL 61615-2085

Mailing address

8416 N Knoxville Ave Ste B
Peoria, IL 61615-2085
Phone (309) 706-5043

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.535145ILMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heartfelt Home Health Home Health CurrentSince Sep 1, 2023 Accepting new patients

Locations

8416 N Knoxville Ave
Ste B
Peoria, IL 61615
Phone (309) 706-5043

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1891578431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 N KNOXVILLE AVE STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152085",
            "telephone_number": "309-706-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 N KNOXVILLE AVE STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152085",
            "telephone_number": "309-706-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "BRITTNEY",
        "middle_name": "TIERRA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041.535145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.