REBECCA RAE DICKERSON (NPI# 1427290337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427290337 |
| Entity Type | Individual |
| Full Name | REBECCA RAE DICKERSON |
| Credential | CRNP |
| Practice Address |
12060 County Line Rd Suite D Madison AL 35756-2003 |
| Practice Telephone | 2562320475 |
| Practice Fax Number | 2562320429 |
| Mailing Telephone | 2562320475 |
| Mailing Fax Number | 2562320429 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2012-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-093181 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-093181 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 110708 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441983 | Rebecca Taylor Dickerson | Psychiatry & Neurology | 5927 Old Timuquana Rd, Jacksonville, FL 32210-7889 | 2019-11-13 |
| 1386787125 | Rebecca Dickerson | Counselor | 1340h Patton Avenue, Asheville, NC 28806 | 2007-02-14 |
| 1952943821 | Rebecca Dickerson | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-10-12 |
| 1588129662 | Rebecca Dickerson | Social Worker | 180 North St, Auburn, NY 13021-1811 | 2019-02-04 |
| 1992175350 | Rebecca Dickerson | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2015-09-29 |
| Street Address |
12060 COUNTY LINE RD SUITE D |
| City | MADISON |
| State | AL |
| Zip Code | 35756-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558648311 | Valley Family Care | Clinic/Center | 12060 County Line Rd, Suite D, Madison, AL 35756-2003 | 2011-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191914 | Jennifer Ryder | Nurse Practitioner | 8 Ross Street, Madison, AL 35756 | 2016-09-01 |
| 1700256252 | Community Urgent Care of Madison, Inc | Family Medicine | 30694 Highway 72, Suite E, Madison, AL 35756 | 2015-09-28 |
| 1609271220 | Corner Crossing LLC | Pharmacy | 30694 Highway 72 West, Suite A, Huntsville, AL 35756 | 2014-10-24 |
| 1881941482 | Darleen Rebecca Morris | Physical Therapist | 12110 County Line Rd Ste B, Madison, AL 35756 | 2012-08-14 |
| 1528125622 | Mary Bryant | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| 1689730194 | Mayra H Blanche | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2006-12-29 |
| 1952357907 | Giles Henry Vaden | Counselor | 140 Fields Pond Drive, Madison, AL 35756 | 2006-05-25 |
| 1881816023 | Heather Grogan | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-05-03 |
| 1255498358 | Judy Hawke | Physical Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-01-02 |
| 1700943800 | Bryan Brazelle | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| Find all providers in zip 35756 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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| 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.