NINETTA SIMONE DICKERSON (NPI# 1932312717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932312717 |
Entity Type | Individual |
Full Name | NINETTA SIMONE DICKERSON |
Credential | NNP |
Practice Address |
101 Carnie Blvd Voorhees NJ 08043-1548 |
Practice Telephone | 8563253831 |
Practice Fax Number | 8563253750 |
Mailing Telephone | 8567823300 |
Mailing Fax Number | 8565048029 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2010-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
26NN09345400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 CARNIE BLVD |
City | VOORHEES |
State | NJ |
Zip Code | 08043-1548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366430324 | Ronald Librizzi | Obstetrics & Gynecology | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2005-10-12 |
1508192980 | Kimberly Ann Pinto | Physician Assistant | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2009-10-20 |
1639315450 | Marie Hegeman | Physician Assistant | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2008-12-29 |
1487816799 | Ana Mendes Mann | Pediatrics | 101 Carnie Blvd, Voorhees, NJ 08043 | 2008-06-27 |
1710173737 | Andrew Karcsh | Pharmacist | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-09-24 |
1508063033 | Joby Varghese | Emergency Medicine | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-28 |
1447456082 | Danielle Rodgers | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-21 |
1750585733 | Christine Marie Catts | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-13 |
1629283312 | Michael V. Filart | Emergency Medicine | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-05-14 |
1063546067 | Jolene Susanne Seibel-seamon | Obstetrics & Gynecology | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-03-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
Find all providers in zip 08043 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750600300 | Jessica Laura Cauchon | Nurse Practitioner | 101 Carnie Blvd., Newborn Health Associates, LLC, Voorhees, NJ 08043 | 2010-05-21 |
1295146918 | Jessica Morales | Nurse Practitioner | 903 Sheppard Rd, Voorhees, NJ 08043-4695 | 2014-05-15 |
1275800534 | Ellen Dorothy Leone | Nurse Practitioner | 100 Bowman Dr, Voorhees, NJ 08043-9612 | 2011-11-30 |
1447456082 | Danielle Rodgers | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-06-21 |
1770627119 | Diane Lynn Rose | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-02-19 |
1669516217 | Bettyann Dusel Divirgilio | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-02-16 |
1538203104 | Patricia Mary Perry | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-02-16 |
1770627341 | Danielle Ruth Greeno | Nurse Practitioner | 101 Carnie Blvd, Voorhees, NJ 08043-1548 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669712592 | Gina Ferraro Mormino | Nurse Practitioner | 455 Conklintown Rd, Ringwood, NJ 07456-2603 | 2013-03-01 |
1750630059 | Christin Ann Riefler | Nurse Practitioner | 2239 Lyde Place, Scotch Plains, NJ 07076 | 2012-08-31 |
1073829503 | Jessica Lynne Mollard-zimmerman | Nurse Practitioner | 357 Sycamore St, Rahway, NJ 07065-2521 | 2010-08-22 |
1215192877 | Suzanne Elizabeth Floyd | Nurse Practitioner | 254 Easten Avenue, St. Peter's University Hospital, New Brunswick, NJ 08901 | 2008-07-23 |
1023131554 | Cynthia Jean Kelley | Nurse Practitioner | 44 Holly Ln, Pilesgrove, NJ 08098-2414 | 2007-04-09 |
1679652127 | Kathleen Mary Harrington | Nurse Practitioner | Monmouth Medical Center, 300 Second Ave., Long Branch, NJ 07740 | 2006-11-03 |
1578097358 | Lydia Monteiro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-04-18 |
1255879508 | Nicole Kilic | Nurse Practitioner | 1 Cooper Plz, Dorrance Building, Camden, NJ 08103-1461 | 2017-02-07 |
1558767913 | Lu-ann Campagnola | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2014-11-13 |
1033530712 | Sura Lee | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2013-12-23 |
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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.