NICKI DOTSON NPI 1023834009

NPI Information

  • NPI: 1023834009
  • Provider Name: NICKI DOTSON
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 4609 GRAPE RD
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (574) 220-7885

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NPI Details

Nicki Dotson is a home health aide in Mishawaka, IN. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Nicki Dotson NPI is 1023834009. 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:

4609 GRAPE RD
MISHAWAKA, IN
ZIP 46545-649
Phone: (574) 220-7885
Fax: (317) 967-2229

The enumeration date for this NPI number is 11/25/2024 and was last updated on 11/25/2024.

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
1374U00000XHome Health Aide24017411INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300095694MEDICAIDINDIANA

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: 11/21/2025

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