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Deactivated NPI 1235416827 Deactivated / Inactive NPI Female Practitioner

Sandra Eva Dickerson , LPN

Licensed Practical Nurse • Parma, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Dickerson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2011
NPI Deactivation Date August 27, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Sandra Dickerson, LPN was a registered Licensed Practical Nurse practicing in Parma, OH. Throughout an active medical career spanning 7 years, Sandra Dickerson provided care at the practice location at 7918 BREMEN AVE until profile deactivation on 2018-08-27.

Practice Location & Contact Primary Location

Practice Address

7918 Bremen Ave

Parma, OH 441292838

Telephone 2162874569

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Parma, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
60 Specialists

Practicing in Parma, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN084584

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 27, 2018

Record deactivated on August 27, 2018

NPI Profile Active November 09, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 09, 2011

Registered at 7918 BREMEN AVE, PARMA, OH 441292838 (Tel: 2162874569)

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Updated Business Mailing Address November 09, 2011

Registered at 7918 BREMEN AVE, PARMA, OH 441292838 (Tel: 2162874569)

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Provider Name / Credentials Updated November 09, 2011

Recorded as SANDRA DICKERSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2011

Licensed Practical Nurse (License #PN084584 in OH)

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Initial NPI Registration & Enumeration November 09, 2011

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: 1235416827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2011
Last Update: November 09, 2011
Deactivation Date: August 27, 2018

Mailing Address

7918 Bremen Ave

Parma, OH 441292838

Phone: 2162874569

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.