MRS. MICHELE RENEE DICKISON


Address: 1250 Idaho St, Lewiston, ID 83501-1965
Phone: 2087437427

MRS. MICHELE RENEE DICKISON (NPI# 1841687001) 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) 1841687001
Entity Type Individual
Full Name MRS. MICHELE RENEE DICKISON
Credential NP-C
Practice Address 1250 Idaho St
Lewiston
ID 83501-1965
Mailing Address Po Box 816
415 6th St
Lewiston
ID 83501-0816
Practice Telephone 2087437427
Practice Fax Number 2087437421
Mailing Telephone 2087437427
Mailing Fax Number 2087437421
Enumeration Date 2015-04-24
Last Update Date 2015-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner NP-1551A ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1250 IDAHO ST
City LEWISTON
State ID
Zip Code 83501-1965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508809252 Daniel E Williams Internal Medicine 1250 Idaho St, Lewiston, ID 83501-1965 2006-06-13
1326697558 Idaho In-home Partner-i, LLC Hospice Care, Community Based 1250 Idaho St, Lewiston, ID 83501-1965 2019-09-10
1235630690 Zaneta Huang Speech-Language Pathologist 1250 Idaho St, Lewiston, ID 83501-1965 2018-02-21
1841704756 Christine Connerley Physical Therapist 1250 Idaho St, Lewiston, ID 83501-1965 2017-11-30
1992231799 St Joseph Hospital LLC Durable Medical Equipment & Medical Supplies 1250 Idaho St, Lewiston, ID 83501-1965 2017-05-11
1619390267 Patricia Mills Physical Therapist 1250 Idaho St, Lewiston, ID 83501-1965 2014-01-31
1457780694 William Wainwright Physical Therapist 1250 Idaho St, Lewiston, ID 83501-1965 2013-11-07
1528493681 Jordan Patrick Alfrey Physical Therapist 1250 Idaho St, Lewiston, ID 83501-1965 2013-09-09
1194065821 Sally Anne Swanson Speech-Language Pathologist 1250 Idaho St, Lewiston, ID 83501-1965 2013-02-16
1740531904 Allison Roberts Occupational Therapist 1250 Idaho St, Lewiston, ID 83501-1965 2012-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039988 Seth Thomas Six Nurse Practitioner 803 Mill Rd, Lewiston, ID 83501-0745 2020-09-25
1093363947 Victoria Friedman Nurse Practitioner 60 High St Ste Y1, Lewiston, ME 04240-7616 2019-09-03
1588156111 Kathryn Landry Nurse Practitioner 77 Bates St Ste 302, Lewiston, ME 04240-7637 2018-05-30
1912419243 Lisa Renee Henderson Nurse Practitioner 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 2017-10-26
1861741159 Beverly Alane Kloepfer Nurse Practitioner 4087 Fairway Dr, Lewiston, ID 83501-9687 2012-09-03
1255629267 Todd M Carpenter Nurse Practitioner 2315 8th Street, Lewiston, ID 83501-7303 2011-07-12
1245405158 Sean Patrick Hailey Nurse Practitioner 5290 Military Road Suite 10 A & B, Lewiston, NY 14092-1953 2008-04-23
1366575284 Rosanne S Marquis Nurse Practitioner 77 Bates Street, Suite 102, Lewiston, ME 04240 2007-03-13
1356422562 Linda K Dewitt Nurse Practitioner 2517 17th St Ste B, Lewiston, ID 83501-6311 2006-10-17
1689766834 Cheryl A Loetscher Nurse Practitioner 1522 17th Street, Lewiston, ID 83501 2006-09-28
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Competitor

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City LEWISTON
Zip Code 83501

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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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