Active NPI
Andrea L Dickinson, RNFA
- Registered Nurse First Assistant
- N Charleston, SC
National Provider Identifier
1902995152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 66920
- Practice address
- 9313 Medical Plaza Dr Ste 305
N Charleston, SC 29406-9197 - Phone
- (843) 553-7615
- Fax
- (843) 553-1008
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 66920 | SC | Primary |
Addresses
Primary practice location
9313 Medical Plaza Dr Ste 305
N Charleston, SC 29406-9197
Mailing address
9313 Medical Plaza Dr Ste 305
N Charleston, SC 29406-9197
Phone (843) 553-7615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66920 | SC | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902995152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR STE 305",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069197",
"telephone_number": "843-553-7615",
"fax_number": "843-553-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9313 MEDICAL PLAZA DR STE 305",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069197",
"telephone_number": "843-553-7615",
"fax_number": "843-553-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "SC",
"license": "66920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.