Dickens Inspired LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13406R Issued in LA

Legal business name

DICKENS INSPIRED LLC

Practice address

114 Representative Row
Suite B
Lafayette, LA 70508-3878

Phone

(337) 412-6555

NPI assigned

Feb 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Dickens, M.D.NPI 1376522516

Title

President

Phone

(337) 412-6555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Dickens, MD

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1376522516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1922499698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 REPRESENTATIVE ROW",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083878",
            "telephone_number": "337-412-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 REPRESENTATIVE ROW",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083878",
            "telephone_number": "337-412-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKENS INSPIRED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-412-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "13406R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Fernandez, M.D. L.L.C.
• Kathryn M. Diaz, NP
• Mary Najwa Dibbs, LPC
• Michael Ziad Dibbs, M.D.
• Paul Khaled Dibbs, M.D.
• Nicole Dickens, MD
• Tory Diehl, LBA
• Sarah Michelle Diesi
• Kathryn Dietzway, LCSW
• George W. Diggs Jr., M.D.

• Psychiatry Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.