MRS. NISH L.S DAVIS-DICKERSON


Address: 7210 Cascade Ct Apt 817, Fort Worth, TX 76137-7406
Phone: 2145540595

MRS. NISH L.S DAVIS-DICKERSON (NPI# 1205326493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205326493
Entity Type Individual
Full Name MRS. NISH L.S DAVIS-DICKERSON
Credential MA. BA.BS HR
Practice Address 7210 Cascade Ct Apt 817
Fort Worth
TX 76137-7406
Practice Telephone 2145540595
Practice Fax Number 8179007219
Mailing Telephone 2145540595
Mailing Fax Number 8179007219
Enumeration Date 2018-05-14
Last Update Date 2018-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers
N 246Y00000X Spec/Tech, Health Info Technologists, Technicians & Other Technical Service Providers
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX MOBILE PHLEBOTOMY 47-2948753 01

Office Location

Street Address 7210 CASCADE CT APT 817
City FORT WORTH
State TX
Zip Code 76137-7406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245714914 Elite Examiner's LLC Point of Service 7210 Cascade Ct Apt 817, Fort Worth, TX 76137-7406 2018-09-19

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1609076736 Rebecca Karen Wilson Technician, Pathology 6464 Brentwood Stair Rd Ste 201, Fort Worth, TX 76112-3242 2007-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467051557 Jyotsna Jerome Technician, Pathology 9809 Shallow Creek Dr, Waco, TX 76708-6199 2020-10-20
1841898939 Hunters Mobile Lab Technician, Pathology 4118 Mineral Haven Dr, Houston, TX 77048-5554 2020-10-12
1316545593 Flinda Gail Rayson Technician, Pathology 13020 Dairy Ashford Rd Ste 110, Sugar Land, TX 77478-4663 2020-10-11
1851907075 Push Phlebotomy LLC Technician, Pathology 1650 7th St Ste 17, Huntsville, TX 77320-3853 2020-09-22
1124634811 Miriam Schindelmeiser Technician, Pathology 205 Quail Creek Dr, Crowley, TX 76036-2209 2020-09-18
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1275150864 Elke Giles Technician, Pathology 3725 Mill Height Dr, Arlington, TX 76014-4328 2020-06-29
1326677295 Brittney Johnson Technician, Pathology 4200 E Stan Schlueter Loop Ste E, Killeen, TX 76542-8300 2020-04-03
1427684794 Karina Verali Paiz Technician, Pathology 1100 Mount Ln, Rhome, TX 76078-5413 2020-03-19
1902444730 Devonda Chantal Wynn Technician, Pathology 16800 Imperial Valley Dr Ste 280, Houston, TX 77060-3161 2019-12-11
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Competitor

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City FORT WORTH
Zip Code 76137

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Dataset Information

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.

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