Patricia Dickinson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R056452 Issued in AR

Practice address

1310 Bradley Dr
Mountain Home, AR 72653-2730

Phone

(870) 424-4021

Fax

(870) 424-4112

NPI assigned

Sep 20, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1912416116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ROAD 1440",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538134",
            "telephone_number": "870-424-7375",
            "fax_number": "870-424-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532730",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R056452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Discoveries, Inc.
• Sarah Dewey, SLP
• Sharon Dibble
• Justin Dickerson
• Jacob Lee Dickinson, MD
• Chad Anthony Dicks, PHARMD
• Christina Dieckhoff, PTA
• Lisa Dierking, LMSW
• Rebecca Dimanche
• Natalie Mazhambe Dinecola, MSW, LCSW

• Registered Nurse in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.