Vanessa Marie Dickerson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

213971 Issued in OK

Practice address

11035 E 38TH St
Tulsa, OK 74146-2528

Phone

(918) 344-7007

NPI assigned

Nov 29, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1902622475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 E 38TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462528",
            "telephone_number": "918-344-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 E 38TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462528",
            "telephone_number": "918-344-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 E Ross Avenue",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740666423",
            "country_code": "US",
            "telephone_number": "918-227-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "213971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dick, PH.D.
• Rachel Dick
• Eugene O Dickens, M.D.
• Matthew Savoy Dickerson, CRNA
• Orlando Donnell Dickerson, CRNA
• Tamara Potter Dickeson, LMT
• Kristi Lynn Dickey
• Kendra Ann Dickson Reese, L.P.N.
• Chad Lewis Diebold, MOTR/L
• Sumner Anne Dieck

• Licensed Practical Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.