ANDRE ANTHONY DICKERSON (NPI# 1437798816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437798816 |
| Entity Type | Individual |
| Full Name | ANDRE ANTHONY DICKERSON |
| Practice Address |
8389 Climax Rd Gretna VA 24557-2567 |
| Practice Telephone | 4342380010 |
| Practice Fax Number | 4346568009 |
| Mailing Telephone | 4342380010 |
| Mailing Fax Number | 4346568009 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | T60712212 | VA | Transportation Services |
| Street Address |
8389 CLIMAX RD |
| City | GRETNA |
| State | VA |
| Zip Code | 24557-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312046 | Vernella Dickerson | Driver | 8389 Climax Rd, Gretna, VA 24557-2567 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669013207 | Patricia Ann Marshall | Technician | 590 Island Point Dr., Gretna, VA 24557 | 2019-10-04 |
| 1598932394 | Gretna Rescue Squad Inc | Ambulance | 102 East Gretna Road, Gretna, VA 24557 | 2008-05-12 |
| 1770008708 | Brendle Crews Stone | Driver | 536 Hodnetts Rd, Gretna, VA 24557 | 2017-08-10 |
| 1215022496 | Michael Lee Bond | Dentist | 603 S Main St, Gretna, VA 24557 | 2006-10-04 |
| 1770957995 | Tracy Overstreet Garrett | Nurse Practitioner | 291 Mcbride Lane, Gretna, VA 24557-0000 | 2015-11-27 |
| 1407256274 | Centra Health, Inc. | General Acute Care Hospital | 291 Mccbride Lane, Gretna, VA 24557-0291 | 2014-08-29 |
| 1578800181 | Thomas D Morris | Pharmacist | 108 Vaden Drive, Gretna, VA 24557-0456 | 2013-01-16 |
| 1578089819 | Terry Callands | Driver | 545 Telegraph Rd, Gretna, VA 24557-1777 | 2017-08-18 |
| 1649226572 | Doss Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 860 Piney Grove Rd, Gretna, VA 24557-1843 | 2006-05-25 |
| 1689199747 | Joseph Chambers | Driver | 2517 Hodnetts Rd, Gretna, VA 24557-1928 | 2017-08-10 |
| Find all providers in zip 24557 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957652 | Celeste Antoinette Shield | Private Vehicle | 1100 Lake Frances Dr, Gretna, LA 70056-8317 | 2018-06-29 |
| 1558866830 | Briana Denise Tucker-blunt | Private Vehicle | 1622 Tucker Rd, Gretna, VA 24557-2067 | 2018-03-28 |
| 1205337359 | Deborah Michelle Jordan | Private Vehicle | 2533 Cotton Patch Rd, Gretna, VA 24557-2496 | 2018-02-23 |
| 1972007946 | Rosalind Dickerson | Private Vehicle | 192 Discovery Rd, Gretna, VA 24557-4717 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119808 | Mercy Transports LLC | Private Vehicle | 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2020-09-16 |
| 1992321517 | Kenneth Bell | Private Vehicle | 47 Gainsborough Pl, Newport News, VA 23608-2029 | 2020-06-19 |
| 1720601065 | Tenea Latrice Walker | Private Vehicle | 2780 Mahixon Rd, Manquin, VA 23106-2318 | 2020-05-21 |
| 1649892589 | Shanique Washington | Private Vehicle | 2247 Dellrose Dr Apt A, Hopewell, VA 23860-7205 | 2020-05-14 |
| 1164044103 | Cornell Daniel Bailey | Private Vehicle | 1016 Level Green Blvd, Virginia Beach, VA 23464-4509 | 2020-05-13 |
| 1427684950 | Michelle Denise Young | Private Vehicle | 1228 Golden Leaf Rd, Nathalie, VA 24577-3494 | 2020-03-17 |
| 1083248884 | Lowell D. Evans | Private Vehicle | 114 Pine Shores Ln, Huddleston, VA 24104-3155 | 2020-03-02 |
| 1841823713 | Rachel Nicole Davis | Private Vehicle | 529 Freeze Rd, Danville, VA 24540-2135 | 2020-02-19 |
| 1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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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.