Paja Le Dickenson, MA CCC -A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000043 Issued in MI

Practice address

3566 Capital Ave SW
Suite 100
Battle Creek, MI 49015-7387

Phone

(269) 979-6455

Fax

(269) 979-6458

NPI assigned

Nov 7, 2011

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

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Battle Creek Hearing Services, Inc.

  • Hearing Instrument Specialist
  • Battle Creek, MI
  • NPI 1417170531
  Medicare reassignment NPD

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1932486875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 CAPITAL AVE SW",
            "address_2": "SUITE 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157387",
            "telephone_number": "269-979-6455",
            "fax_number": "269-979-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 CAPITAL AVE SW",
            "address_2": "SUITE 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157387",
            "telephone_number": "269-979-6455",
            "fax_number": "269-979-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENSON",
        "first_name": "PAJA",
        "middle_name": "LE",
        "credential": "MA CCC -A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas T Diata, D.C
• Dollie Joy Wong Diaz, DPT
• Ireneo Yap Diaz Jr., M.D.
• Melissa Jane Diaz, MS, SHRM-CP, RCSWI
• David Scott Dickenson
• Nathaniel Dickman
• Richard Craig Diederich, DDS, MS
• Priscila Dieguez-Moya, LPC
• Beth Ann-Jamison Dietzel, PH.D.
• Wendell L. Diggs, PA-C

• Audiologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.