DR. AMANDA RACHEL DICKERSON MD NPI 1376741249

NPI Information

NPI: 1376741249
Provider Name: DR. AMANDA RACHEL DICKERSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
193 LOCUST ST
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 517-2226
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DR. Amanda Rachel Dickerson, MD is a pediatrics in Northampton, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Amanda Rachel Dickerson, MD NPI is 1376741249. 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:

193 LOCUST ST
NORTHAMPTON, MA
ZIP 01060-056
Phone: (413) 517-2226
Fax: (413) 584-1714

The enumeration date for this NPI number is 7/3/2007 and was last updated on 12/1/2023.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	2010021085	MISSOURI	No
2	390200000X	Student in an Organized Health Care Education/Training Program	2007017251	MISSOURI	No
3	208000000X	Pediatrics	1015398	MASSACHUSETTS	Yes

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
1	684702	OTHER		ANTHEM
2	200658010A	MEDICAID	KANSAS
3	1376741249	MEDICAID	MISSOURI
4	A24058	OTHER		HEALTH LINK
5	200295930A	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

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