MS. SHUNTA L DICKERSON (NPI# 1316155849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316155849 |
| Entity Type | Individual |
| Full Name | MS. SHUNTA L DICKERSON |
| Practice Address |
1 Southaven Ct Apt. 9 Little Rock AR 72209-5164 |
| Mailing Address |
1 Southhaven Apt. 9 Little Rock AR 72209 |
| Practice Telephone | 5019122061 |
| Mailing Telephone | 5019122061 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1 SOUTHAVEN CT APT. 9 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1821206574 | Janet Brown | Day Training/Habilitation Specialist | 12201 Mara Lynn Rd, Apt. 2203, Little Rock, AR 72211-2341 | 2007-05-18 |
| 1043428717 | Marsha Humbert | Day Training/Habilitation Specialist | 3918 Southern Belle Dr, Little Rock, AR 72206-9812 | 2007-05-18 |
| 1487861431 | Malissa Z Mcpherson | Day Training/Habilitation Specialist | 11401 Mesa Dr, Apt. C 327, Little Rock, AR 72211-2845 | 2007-05-17 |
| 1669689774 | Aleta B Posey | Day Training/Habilitation Specialist | 1701 Westpark Dr, Apt. 160, Little Rock, AR 72204-2502 | 2007-05-17 |
| 1265649347 | Rachael Elizabeth Parker | Day Training/Habilitation Specialist | 2200 Riverfront Dr, Apt. 4214, Little Rock, AR 72202-2233 | 2007-05-17 |
| 1487861522 | Crystal L Leeper | Day Training/Habilitation Specialist | 9210 Tall Timber Blvd, Little Rock, AR 72204-8523 | 2007-05-17 |
| 1104306588 | Allison Annakay Farmer | Day Training/Habilitation Specialist | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2018-08-15 |
| 1275013666 | Amanda Lynn Trickey | Day Training/Habilitation Specialist | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2018-08-15 |
| 1770075590 | Taylor Elizabeth Dooly | Day Training/Habilitation Specialist | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2018-06-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
Please comment or provide details below to improve the information on MS. SHUNTA L DICKERSON.
| 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.