Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376741249 Individual Practitioner Female Practitioner

Dr. Amanda Rachel Dickerson , MD

Pediatrics • Northampton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Dickerson, MD is a registered healthcare professional specializing in Pediatrics in Northampton, MA. Practice services are available at 193 LOCUST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

193 Locust St

Northampton, MA 010602056

Telephone 4135172226
Fax 4135841714
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Northampton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Northampton, MA (2760 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 1015398

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2010021085

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MO 2007017251

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200658010A (KS)
Medicaid State Provider ID
1376741249 (MO)
Medicaid State Provider ID
200295930A (OK)
Commercial Insurance / Payer ID Anthem
684702
Commercial Insurance / Payer ID Health Link
A24058

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Beth Shaine , PNP

Nurse Practitioner - Pediatrics

NPI 1144334400

Pediatric Nurse Practitioner

NPI 1255579884

Doctor of Medicine (M.D.)

NPI 1295712453

Doctor of Medicine (M.D.)

Monique Patten , RN CFNP

Nurse Practitioner - Family

NPI 1316092380

RNCFNP

NPI 1366411258

Doctor of Medicine (M.D.)

NPI 1427027937

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 01, 2023

Registered at 193 LOCUST ST, NORTHAMPTON, MA 010602056 (Tel: 4135172226)

📍
Updated Business Mailing Address December 01, 2023

Registered at 193 LOCUST ST, NORTHAMPTON, MA 010602056 (Tel: 4135172226)

NPI Profile Active September 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2011

Registered at 1030 MCINTOSH CIR, STE 1, JOPLIN, MO 648043642 (Tel: 4173478750)

📍
Updated Business Mailing Address September 19, 2011

Registered at PO BOX 3810, JOPLIN, MO 648033810 (Tel: 4173478750)

👤
Provider Name / Credentials Updated September 19, 2011

Recorded as AMANDA DICKERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2011

Pediatrics (License #2010021085 in MO)

🟢
Initial NPI Registration & Enumeration July 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376741249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2007
Last Update: December 01, 2023
Sole Proprietor: No

Mailing Address

193 Locust St

Northampton, MA 010602056

Phone: 4135172226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.