CHENDRA PATRECE DIKKO AGAC NP NPI 1669134847

NPI Information

NPI: 1669134847
Provider Name: CHENDRA PATRECE DIKKO, AGAC NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4400 EASTON CMNS STE 125
COLUMBUS, OH
ZIP 43219
Phone: (574) 546-1900
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Chendra Patrece Dikko, AGAC NP is a gerontology nurse practitioner in Columbus, OH. Chendra Patrece Dikko, AGAC NP NPI is 1669134847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4400 EASTON CMNS STE 125
COLUMBUS, OH
ZIP 43219-223
Phone: (574) 546-1900
Fax: (574) 546-1999

The NPI 1669134847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2021 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		APRN.CNP.0028813	OHIO	No
2	363LG0600X	Nurse Practitioner	Gerontology	APRN.CNP.0028813	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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