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Active NPI 1740866094 Individual Practitioner Female Practitioner

Jenelle Lynn Dickson , LE

Specialist • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Jenelle Dickson, LE is a registered healthcare professional specializing in Specialist in Springfield, OR. Practice services are available at 2942 FENYA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2942 Fenya St

Springfield, OR 974777945

Telephone 5418100884

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 53.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Springfield, OR (1153 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

CMS Verified: 2025-07-11
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR BAP-E-10254980

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 12, 2025

Registered at 2942 FENYA ST, SPRINGFIELD, OR 974777945 (Tel: 5418100884)

📍
Updated Business Mailing Address July 12, 2025

Registered at 2942 FENYA ST, SPRINGFIELD, OR 974777945 (Tel: 5418100884)

👤
Provider Name / Credentials Updated July 12, 2025

Recorded as JENELLE DICKSON, LE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2025

Specialist (License #BAP-E-10254980 in OR)

✅
NPI Profile Active March 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2021

Registered at 2421 WASHBURN WAY STE 2631, KLAMATH FALLS, OR 976034525 (Tel: 5418851675)

📍
Updated Business Mailing Address March 18, 2021

Registered at PO BOX 5084, KLAMATH FALLS, OR 976010117 (Tel: 5418100884)

👤
Provider Name / Credentials Updated March 18, 2021

Recorded as JENELLE JEPSON, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 18, 2021

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: 1740866094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: July 12, 2025
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2942 Fenya St

Springfield, OR 974777945

Phone: 5418100884

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.