MARIE DICKERSON


Address: 950 Matthew Drive, Waynesboro, MS 39367
Phone: 6017357102

MARIE DICKERSON (NPI# 1447228630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447228630
Entity Type Individual
Full Name MARIE DICKERSON
Credential CRNA
Practice Address 950 Matthew Drive
Waynesboro
MS 39367
Mailing Address 950 Matthew Drive
P O Box 1249
Waynesboro
MS 39367
Practice Telephone 6017357102
Practice Fax Number 6017357168
Mailing Telephone 6017357102
Mailing Fax Number 6017357168
Enumeration Date 2006-03-14
Last Update Date 2010-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R110100 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00017439 05

Office Location

Street Address 950 MATTHEW DRIVE
City WAYNESBORO
State MS
Zip Code 39367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497727705 Jimmy N Bowen Nurse Anesthetist, Certified Registered 950 Matthew Drive, Waynesboro, MS 39367 2006-02-02
1689630204 Charles R Berryman General Practice 950 Matthew Drive, Waynesboro, MS 39367 2006-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275056541 Helping Hand Home Care LLC Respite Care 822a Station St., Waynesboro, MS 39367 2017-07-19
1578914339 Megan Cook Specialist/Technologist 44 D Hutto Drive, Waynesboro, MS 39367 2016-06-23
1932413762 Bendan Boyd Nurse Practitioner 501 Azalea Dr. Suite F, Waynesboro, MS 39367 2010-08-04
1912181868 Terry G Agent Physical Therapist 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 2007-12-27
1265631949 Joseph Daniel Stringer Jr. Dentist 803 Mississippi Drive, Waynesboro, MS 39367 2007-07-13
1245313014 Wal-mart Stores East, Lp Technician/Technologist 1350 Azalea Drive, Waynesboro, MS 39367 2006-10-23
1851488514 Charles Todd Stokley Family Medicine 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 2006-10-06
1396832150 William Daniel Young Specialist 940 Matthew Dr Ste 7, Waynesboro, MS 39367 2006-10-05
1518076546 Family Dental Center of Waynesboro, P.a. Dentist 500 Court Street, Waynesboro, MS 39367 2006-08-30
1780624510 Bobbie Jean Cooksey Nurse Practitioner 920 Matthew Drive, Suite D, Waynesboro, MS 39367 2006-06-08
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912383514 D Woods Anesthesia Nurse Anesthetist, Certified Registered 360 Barrett Plantation Ln, Waynesboro, GA 30830-2706 2015-08-05
1083717029 Timothy P.a. Prieto-kop Nurse Anesthetist, Certified Registered 315 Liberty Street, Waynesboro, GA 30830 2006-09-06
1497727705 Jimmy N Bowen Nurse Anesthetist, Certified Registered 950 Matthew Drive, Waynesboro, MS 39367 2006-02-02
1093930638 Wayne General Hospital Nurse Anesthetist, Certified Registered 950 Matthew Dr, Waynesboro, MS 39367-2567 2007-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407478209 Laura Polk Phillips Nurse Anesthetist, Certified Registered 125 Stone Creek Dr, Madison, MS 39110-5058 2020-05-14
1457970923 Sola Medical Services, LLC Nurse Anesthetist, Certified Registered 3037 Corder Drive, Corinth, MS 38834-3883 2020-04-14
1770046690 Brittany Ball Nurse Anesthetist, Certified Registered 6232 Vera Ln, Olive Branch, MS 38654-6494 2019-04-08
1285106658 Brian F Seymour Jr. Nurse Anesthetist, Certified Registered 13413 Saint Martin Dr, Ocean Springs, MS 39564-9258 2018-12-26
1174095749 Emily E Randle Nurse Anesthetist, Certified Registered 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 2018-12-20
1194213926 Justin Michael Coats Nurse Anesthetist, Certified Registered 1163 Carriage Dr S, Southaven, MS 38671-2330 2018-04-26
1609314400 Dale P Hotard IIi Nurse Anesthetist, Certified Registered 103 Fairview Dr, Vicksburg, MS 39180-8934 2017-02-01
1457807794 Freelance Anesthesia Mississippi, LLC Nurse Anesthetist, Certified Registered 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 2016-08-28
1063873438 Holder Anesthesia Nurse Anesthetist, Certified Registered 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 2016-03-14
1124496906 Sova Anesthesia, Pllc Nurse Anesthetist, Certified Registered 2734 Lizzie Cv, Southaven, MS 38671-7510 2015-09-09
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Competitor

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City WAYNESBORO
Zip Code 39367

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Dataset Information

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.

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