Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RACHEL ANNE DICKERSON, M.D.
Deactivated Sole ProprietorRACHEL ANNE DICKERSON, M.D. is a Internal Medicine healthcare provider located in KIRKWOOD, Missouri. NPI 1174797427 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · KIRKWOOD, MO
This NPI has been deactivated.
The record was deactivated on January 6, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174797427
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2008 (11.72131147541 yrs)
- Last Updated
- Nov 20, 2024
- Deactivated
- Jan 6, 2020
- Licenses
-
2012012812 (MO)2012012812 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 PROSPECT AVE STE 202AKIRKWOOD, MO, 631226067Browse MO providers · Browse ZIP 63122
- Phone
- 3143942973
- Fax
- 7854145373
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in KIRKWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| RICHARD MUCHNICK | M.D. | 1245211945 |
| SAVITRI JAIN | MD | 1053368894 |
| ADAM DAVID COX | M.D. | 1003158338 |
| SHIVAN SHETTY | DO | 1508446196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.