MARIE ALICE DICKERMAN (NPI# 1235643321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235643321 |
| Entity Type | Individual |
| Full Name | MARIE ALICE DICKERMAN |
| Credential | REGISTERED NURSE |
| Practice Address |
262 South 9th Street Elementary School Building Fort Sumner NM 88119 |
| Mailing Address |
765 East Sumner Avenue Elementary School Building Fort Sumner NM 88119-9316 |
| Practice Telephone | 5753557766 |
| Practice Fax Number | 5753556002 |
| Mailing Telephone | 5753557766 |
| Mailing Fax Number | 5753556002 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R28287 | NM | Nursing Service Providers |
| Street Address |
262 SOUTH 9TH STREET ELEMENTARY SCHOOL BUILDING |
| City | FORT SUMNER |
| State | NM |
| Zip Code | 88119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891209235 | Fort Sumner Schools | Nursing Care | 262 South 9th Street, Elementary School Building, Fort Sumner, NM 88119-9316 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659627529 | Angelica R. Segura | Counselor | De Baca Family Practice Clinic, 546 N. 10th Street, Fort Sumner, NM 88119 | 2012-07-30 |
| 1780917765 | Lori L. Moyer | Counselor | 678 Avenue C, Fort Sumner, NM 88119 | 2009-09-09 |
| 1235375460 | Regional Substance Abuse Treatment Initiative | Substance Abuse Rehabilitation Facility | 519 North 10th. Street, Fort Sumner, NM 88119 | 2008-12-17 |
| 1356470447 | Village of Fort Sumner | Ambulance | 173 E Ave C, Ft Sumner, NM 88119 | 2007-03-05 |
| 1124184213 | Wil B Pacheco | Dentist | 546 N 10th Street, Fort Sumner, NM 88119 | 2006-12-31 |
| 1003855032 | De Baca Family Practice Clinic | Clinic/Center | 546 N. Tenth St, Fort Sumner, NM 88119 | 2006-06-05 |
| 1023001591 | Darlene G Jenkins | Nurse Practitioner | 546 North 10th St., Fort Sumner, NM 88119 | 2005-08-30 |
| 1679966451 | Laney Pierce | Nurse Practitioner | 546 N 10th Street, Fort Sumner, NM 88119 | 2015-03-18 |
| 1184054025 | Sheila A Smith | Social Worker | 546 N 10th Street, Fort Sumner, NM 88119 | 2013-11-13 |
| 1780019018 | Turquoise Health and Wellness, Inc. | Community/Behavioral Health | 678 Avenue C, Fort Sumner, NM 88119 | 2013-09-05 |
| Find all providers in zip 88119 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702901 | Charlotte Carter | Registered Nurse | 7th and Elm St, San Jon, NM 88434 | 2020-08-28 |
| 1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
| 1366052987 | Katrina Reyes | Registered Nurse | 9 Basalt Dr, Silver City, NM 88061-8961 | 2020-08-07 |
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1962012096 | Donna Lee Rodarte | Registered Nurse | 4th Street & Parque Ave, Maxwell, NM 87728 | 2020-08-04 |
| 1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1124677232 | Sunni Rhea Osborn | Registered Nurse | 309 N. Apple, House, NM 88121-0673 | 2019-09-11 |
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1265087886 | Sheena Danielle Zemke | Registered Nurse | 2 Albert Ln, Los Lunas, NM 87031-7604 | 2019-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT SUMNER |
| Zip Code | 88119 |
Please comment or provide details below to improve the information on MARIE ALICE DICKERMAN.
| 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.