NICOLE DICKERSON
NPI 1184407629
Peer Specialist in Lincoln City, OR
NPI Status: Active since August 17, 2023
Contact Information
1345 NW 15TH ST
LINCOLN CITY, OR
ZIP 97367
Phone: (541) 574-9570
Fax: (541) 574-8857
- Individual
- Female
- Peer Specialist
About NICOLE DICKERSON
This page provides the complete NPI Profile along with additional information for Nicole Dickerson, a provider established in Lincoln City, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1184407629 assigned on August 2023. The practitioner's primary taxonomy code is 175T00000X with license number 22-CRM-1313 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1184407629
- Provider Name
- NICOLE DICKERSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1345 NW 15TH ST LINCOLN CITY, OR 97367
- Location Phone
- (541) 574-9570
- Location Fax
- (541) 574-8857
- Mailing Address
- PO BOX 1538 NEWPORT, OR 97365
- Mailing Phone
- (541) 574-9570
- Mailing Fax
- (541) 574-8857
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2023
- Last Update Date
- 08-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 22-CRM-1313
- License State
- OR
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 4 | 0 | 7 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 8 | 0 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 8 + 0 + 1 + 4 + 6 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1184407629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952803314 | MR. DAVID M JOHNSON CADC I Individual | Specialist | 1345 NW 15TH ST LINCOLN CITY, OR 97367 (541) 574-9570 |
| 1730821414 | YEVETTE WRIGHT Individual | Peer Specialist | 1345 NW 15TH ST LINCOLN CITY, OR 97367 (541) 574-9570 |
| 1104602655 | TIMOTHY RASH Individual | Counselor (Addiction (Substance Use Disorder)) | 1345 NW 15TH ST LINCOLN CITY, OR 97367 (541) 574-9570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184407629, enumerated in the NPI registry as an "individual" on August 17, 2023
The provider is located at 1345 Nw 15th St Lincoln City, Or 97367 and the phone number is (541) 574-9570
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on August 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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