Alexis Nicole Dickinson, NP
Nurse Practitioner, Psych/Mental Health in Boston, MA. Individual provider (NPI-1).
NPI number1164099826
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1164099826
- Entity type
- Individual (NPI-1)
- Name
- Alexis Nicole Dickinson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2021
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2337324 | MA | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN2337324 | MA |
Practice location
15 Tufts StBoston, MA 02129-2711
Phone 857-238-1100
Mailing address
15 Tufts StBoston, MA 02129-2711
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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