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LILLY KATHERINE DICKENS DNP NPI 1184269516


NPI Information

NPI: 1184269516
Provider Name: LILLY KATHERINE DICKENS, DNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 458-6330
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Lilly Katherine Dickens, DNP is a primary care nurse practitioner in Scotts Valley, CA with 2 years of experience. Lilly Katherine Dickens, DNP NPI is 1184269516. 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:

4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA
ZIP 95066-202
Phone: (831) 458-6330

The NPI 1184269516 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 11/8/2019 and was last updated on 6/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse95204741CALIFORNIANo
2363LP2300XNurse PractitionerPrimary Care95024318CALIFORNIAYes

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: 4/28/2024

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.