Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043744790 Individual Practitioner Male Practitioner

Kenneth Willie Dickerson

Driver • Houston, TX

Professional Overview & Biography Verified Profile Summary

Kenneth Dickerson is a registered healthcare professional specializing in Driver in Houston, TX. Practice services are available at 15530 ELLA BLVD APT 719 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15530 Ella Blvd Apt 719

Houston, TX 77090

Telephone 8328921079

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
130 Specialists

Practicing in Houston, TX (492 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License TX 24512126

A person employed to operate a motor vehicle as a carrier of persons or property.

Prevention Professional

NUCC Taxonomy Code: 405300000X

State License TX 24512126

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Career & Practice History Timeline

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

7 Historical Events
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2017

Registered at 15530 ELLA BLVD APT 719, HOUSTON, TX 77090 (Tel: 8328921079)

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Updated Business Mailing Address April 19, 2017

Registered at 15530 ELLA BLVD APT 719, HOUSTON, TX 770905310 (Tel: 8328921079)

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Provider Name / Credentials Updated April 19, 2017

Recorded as KENNETH DICKERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Prevention Professional (License #24512126 in TX)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Driver (License #24512126 in TX)

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Initial NPI Registration & Enumeration April 19, 2017

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: 1043744790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: April 19, 2017
Sole Proprietor: Yes

Mailing Address

15530 Ella Blvd Apt 719

Houston, TX 770905310

Phone: 8328921079

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.