STEPHEN DICKERSON (NPI# 1871067827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871067827 |
| Entity Type | Individual |
| Full Name | STEPHEN DICKERSON |
| Practice Address |
706 Cranberry Dr Greenfield IN 46140-8724 |
| Practice Telephone | 3174685772 |
| Mailing Telephone | 3174685772 |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
706 CRANBERRY DR |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-8724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1740713346 | Taylor Lee Glover | Specialist/Technologist | 216 Heartwood Hl, Greenfield, IN 46140-7036 | 2017-04-10 |
| 1912354705 | Samantha Weber | Specialist/Technologist | 4031 S 91st Pl, Greenfield, WI 53228-2225 | 2016-05-21 |
| 1316339187 | Darren Rose | Specialist/Technologist | 5720 S 40th St, Greenfield, WI 53221-3910 | 2015-03-03 |
| 1669862272 | Brittany Irwin | Specialist/Technologist | 6466 W Whiteside Ct, Greenfield, IN 46140-6618 | 2015-02-03 |
| 1467859785 | Kari Nelson | Specialist/Technologist | 4800 S 60th St, Greenfield, WI 53220-4616 | 2014-12-02 |
| 1114139664 | Joei Lynn Gill | Specialist/Technologist | 2117 Barrett Rd, Greenfield, OH 45123-9107 | 2007-05-05 |
| 1821018102 | Matthew Austin Fisher | Specialist/Technologist | 574 Bernardston Rd, Greenfield, MA 01301-1102 | 2006-07-20 |
| 1033104633 | Jennifer Lyn Priser | Specialist/Technologist | 810 N Broadway St, Greenfield, IN 46140-1440 | 2005-09-20 |
| 1811536535 | Emily J Dylewski | Specialist/Technologist | 574 Bernardston Rd, Greenfield, MA 01301-1100 | 2019-12-27 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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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.