CYNTHIA K. DICKINSON NPI 1952491284

NPI Information

  • NPI: 1952491284
  • Provider Name: CYNTHIA K. DICKINSON
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 200 E PENNSYLVANIA AVE
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 655-7900

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NPI Details

Cynthia K. Dickinson is a medical physician assistant in Peoria, IL. Cynthia K. Dickinson NPI is 1952491284. 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:

200 E PENNSYLVANIA AVE
PEORIA, IL
ZIP 61603-089
Phone: (309) 655-7900
Fax: (309) 655-7903

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.

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
1363AM0700XPhysician AssistantMedical041141001/209001084ILLINOISYes

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
1952320MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL #
2S69904MEDICARE UPIN
3K36908MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL # (EFF 5-22-07
4809840MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP #
5CA4079MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR GROUP #

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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