MONICA EVETTE DICKENSON


Address: 2001 Southampton St, Woodbridge, VA 22191-2660
Phone: 7036720680

MONICA EVETTE DICKENSON (NPI# 1689212078) 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) 1689212078
Entity Type Individual
Full Name MONICA EVETTE DICKENSON
Practice Address 2001 Southampton St
Woodbridge
VA 22191-2660
Mailing Address 25 Cornerstone Dr
Stafford
VA 22554-6208
Practice Telephone 7036720680
Mailing Telephone 7036265803
Enumeration Date 2019-12-16
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 2001 SOUTHAMPTON ST
City WOODBRIDGE
State VA
Zip Code 22191-2660

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1235617507 Yaw P. Baidoo Nutritionist 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 2018-07-30
1477048452 Anahita Abazari Optometrist 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 2018-06-22
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1568991974 Patrice Whilby Behavior Technician 2264 York Drive Apt 302, Woodbridge, VA 22191 2017-06-08
1508395245 Maria Theresa Lee Registered Nurse 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 2017-06-07
1861943763 A1 Home Care, LLC Home Health 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 2016-10-17
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568020311 Vine Beauty Supply Prosthetic/Orthotic Supplier 615 Rahway Ave, Woodbridge, NJ 07095-3437 2019-06-05
1720451842 An Added Touch Salon & Barber LLC Prosthetic/Orthotic Supplier 1380 Old Bridge Rd, Woodbridge, VA 22192-2708 2015-11-11
1568714186 Georgina Aboagye Prosthetic/Orthotic Supplier 14230 Smoketown Rd, Woodbridge, VA 22192-4708 2012-10-05
1063667434 Potomac Cobbler, Inc Prosthetic/Orthotic Supplier 14437 Jefferson Davis Highway, Woodbridge, VA 22191-2805 2008-11-26
1144410432 James Martin Brown, Sr. Prosthetic/Orthotic Supplier 14437 Jefferson Davis Hwy, Woodbridge, VA 22191-2805 2007-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548869324 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 4057 Taylor Rd Ste P, Chesapeake, VA 23321-5527 2020-10-22
1982203709 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 211 Bulifants Blvd Ste B, Williamsburg, VA 23188-5741 2020-10-22
1225637028 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 2020-10-22
1326657818 Hairsonality Rx Prosthetic/Orthotic Supplier 110 Coliseum Xing # 5126, Hampton, VA 23666-5971 2020-07-30
1699393850 Bionic Innovations LLC Prosthetic/Orthotic Supplier 896 Haden Ln, Crozet, VA 22932-2833 2020-07-13
1821610361 Takeria Lewis Prosthetic/Orthotic Supplier 300 Karl Linn Dr Apt 115, North Chesterfield, VA 23225-6979 2020-05-06
1033740139 Hair Saviours Prosthetic/Orthotic Supplier 25 Cornerstone Dr, Stafford, VA 22554-6208 2020-01-28
1588202105 Boston Brace International Inc. Prosthetic/Orthotic Supplier 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 2019-12-13
1396388187 Seven Degree North Hair Prosthetic/Orthotic Supplier 700 Lombardy Ave Apt 7402, Newport News, VA 23606-3367 2019-10-24
1598313298 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 2019-08-27
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Competitor

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City WOODBRIDGE
Zip Code 22191

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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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