KARISSA DICKEN (NPI# 1043631732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043631732 |
| Entity Type | Individual |
| Full Name | KARISSA DICKEN |
| Credential | RN |
| Practice Address |
510 Butler Ave Martinsburg WV 25405-9990 |
| Practice Telephone | 3017240061 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R178129 | MD | Ambulatory Health Care Facilities |
| Street Address |
510 BUTLER AVE |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25405-9990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022173 | Richard Charles Avioli | Orthopaedic Surgery | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-06-08 |
| 1659972701 | Julie C Riggleman | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-11-05 |
| 1003415258 | Melissa Bangle | Psychologist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-10-20 |
| 1134738016 | Jessica Christine Fernandez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-07-28 |
| 1164046124 | Brigit Kirwan | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-06-04 |
| 1467073437 | Jared O Ogenche | Respiratory Therapist, Registered | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-04-30 |
| 1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
| 1184256505 | Jeffrey Parish | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-02-05 |
| 1356981252 | Jenica Pearson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-01-09 |
| 1679119754 | Stacy Nicole Green | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982004834 | Stacy Becker | Pharmacist | 1297 Winchester Ave, Martinsburg, WV 25405 | 2014-08-28 |
| 1336577709 | Zellene Struble | Midwife | 405 Sweetbriar Rd, Martinsburg, WV 25405 | 2013-10-23 |
| 1710329131 | Aisha Masood | Pharmacist | 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 | 2013-07-26 |
| 1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
| 1962594846 | Barbara Ellen Hartman | Dietitian, Registered | 510 Butler Avenue, Martinsburg, WV 25405 | 2006-09-29 |
| 1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
| 1497399729 | Michelle Stickel | Speech-Language Pathologist | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 | 2019-10-30 |
| 1225688054 | Lynne Blackshear | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 | 2019-09-13 |
| 1285284018 | Christina Byrnes | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-09-13 |
| 1730737339 | Susan J Dilly | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-08-28 |
| Find all providers in zip 25405 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588961577 | City Pediatrics | Clinic/Center | 1804 W King St, Suite 200, Martinsburg, WV 25401-2004 | 2011-02-28 |
| 1457722670 | Quad/med, LLC | Clinic/Center | 855 Caperton Blvd, Suite A, Martinsburg, WV 25403-8001 | 2015-10-14 |
| 1629408356 | Quad/med, LLC | Clinic/Center | 855 Caperton Blvd, Martinsburg, WV 25403-8001 | 2013-11-15 |
| 1912250663 | Family Health Center Pllc | Clinic/Center | 1004 Sushruta Dr Ste C, Martinsburg, WV 25401-8801 | 2012-10-18 |
| 1285904623 | Internal Medicine of West Virginia, Pllc | Clinic/Center | 1008 Tavern Rd, Suite 103, Martinsburg, WV 25401-2801 | 2012-01-03 |
| 1407072663 | Ernesto H Agbayani Md Pllc | Clinic/Center | 155 Health Care Ln, Martinsburg, WV 25401-4008 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1588039242 | Summersville Outpatient Center | Clinic/Center | 100 Florence Street, Ansted, WV 25812 | 2015-12-07 |
| 1801283882 | Mingo County Family Wellness Center LLC | Clinic/Center | 50 Lenore Business Center, Williamson, WV 25661 | 2015-04-17 |
| 1639412398 | Potomac Integrative Health Pllc | Clinic/Center | 51 Maddex Square Drive, Shepherdstown, WV 25443-4310 | 2013-04-01 |
| 1831447499 | William Conrad Inc. | Clinic/Center | 154 Oak View Ln, New Creek, WV 26743-4544 | 2012-08-29 |
| 1548518095 | Charles Town Health Right, Inc | Clinic/Center | 1212 N. Mildred St., Ranson, WV 25438-5552 | 2012-08-15 |
| 1154676096 | Mebrahtom Tesfai Pllc | Clinic/Center | 212 Professional Park, Beckley, WV 25801-3624 | 2012-07-17 |
| 1679832646 | Health Thru Care, LLC | Clinic/Center | 1397 Earl L. Core Road, Sabraton Plaza, Morgantown, WV 26505 | 2012-05-11 |
| 1811261225 | Bruceton Medical Center | Clinic/Center | 198 Morgantown Street, Suite B, Bruceton Mills, WV 26525 | 2012-03-02 |
| 1629364351 | Spring Valley Family Care | Clinic/Center | 27 Springfield Pike, Springfield, WV 26763 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25405 |
Please comment or provide details below to improve the information on KARISSA DICKEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.