Ronda Dickinson, DNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704225008 Issued in MI

Practice address

109 S 13TH Ave
Alpena, MI 49707-1609

Phone

(989) 356-2400

Fax

(989) 354-2606

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rondadickinson@nmhc.allscriptsdirect.net

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.

• Alpena Express Care and Family Practice, PLC

  • Family Medicine Physician
  • Alpena, MI
  • NPI 1992981559
  Medicare reassignment NPD
• Northern Michigan Heart Center, PLLC

  • Cardiovascular Disease Physician
  • Alpena, MI
  • NPI 1053819623
  Medicare reassignment NPD
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1902453814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-356-2400",
            "fax_number": "989-354-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-356-2400",
            "fax_number": "989-354-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "RONDA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704225008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Desmond
• Kelly Desmond
• Stephanie Dettloff
• Patty Dichtel, LLMSW
• Jill Dickins, BSW
• Renee Luise Diener, LMSW
• Jeremiah Lynn Dietz
• District Health Department No. 4
• District Health Department No. 4
• District Health Department No. 4

• Adult Health Nurse Practitioner in Alpena, MI
• Providers in Alpena, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.