SELINA DICKENSON NPI 1053827006

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1053827006 The middle name of the provider, if the provider is an individual.
Entity Type Code 1 The name suffix of the provider if the provider is an individual. The name suffix is a "generation-related" suffix, such as Jr., Sr., II, III, IV, or V.
Provider Last Name Legal Name DICKENSON The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Name SELINA The city name in the location address of the provider being identified.
Provider First Line Business Practice Location Address 1031 FLORENCE DR The State code in the location of the provider being identified.
Provider Business Practice Location Address City Name MACEDONIA The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address State Name OH The country code in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 440561111 The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S US The fax number associated with the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 3302559144 The date the provider was assigned a unique identifier (assigned an NPI).
Provider Enumeration Date 12/28/2017 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 5/12/2020 The date the provider was assigned a unique identifier (assigned an NPI).
Provider Gender Code F The code designating the provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code 1 374U00000X The code designating the provider's gender if the provider is a person.
Healthcare Provider Primary Taxonomy Switch 1 Y This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Sole Proprietor Y This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
NPI Certification Date 5/12/2020 The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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