JANIS DICKERMAN (NPI# 1245657717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245657717 |
| Entity Type | Individual |
| Full Name | JANIS DICKERMAN |
| Credential | RN |
| Practice Address |
9524 Corregidor Dr Saint Louis MO 63134-4024 |
| Practice Telephone | 3146519163 |
| Mailing Telephone | 3146519163 |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2014-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
048634 | MO | Nursing Service Providers |
| Street Address |
9524 CORREGIDOR DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63134-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510714 | Romney Nicole Rice-dunn | Registered Nurse | 1430 Olive St, Saint Louis, MO 63103-2360 | 2020-02-18 |
| 1326540196 | Sonia Louise Deal | Registered Nurse | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2018-03-07 |
| 1417464942 | Carmen F Murphy | Registered Nurse | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2018-01-05 |
| 1609236199 | Darren Dion Cox | Registered Nurse | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668548 | Kayse Marie Nichols | Registered Nurse | 2807 Fox Meadow Ln, Arnold, MO 63010-2867 | 2020-10-28 |
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1316591340 | Carol S. Coffee | Registered Nurse | 504 S Vine St, Advance, MO 63730-8060 | 2019-07-29 |
| 1184143794 | Brenda Joyce Alexander | Registered Nurse | 2420 E Linwood Blvd Ste 300d, Kansas City, MO 64109-2142 | 2017-09-14 |
| 1871991034 | Debra M Stone-casper | Registered Nurse | 2093 Us Highway 67, Festus, MO 63028-3669 | 2014-12-19 |
| 1518274364 | Latisha Shirose Washington | Registered Nurse | 6202 Dupree Ave, Ferguson, MO 63135-3219 | 2010-08-31 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| 1407992795 | Kelly Dawn Reid | Registered Nurse | 1708 Spruce Dr, High Ridge, MO 63049-1867 | 2007-01-30 |
| 1467533604 | Sherilyn K Clark | Registered Nurse | 110 S. 2nd St., Ellington, MO 63638 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63134 |
Please comment or provide details below to improve the information on JANIS 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.