KYLIE DICKERSON MD
NPI 1386385938
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Kylie Dickerson's NPI number?

The NPI number for Kylie Dickerson is 1386385938. It was assigned to this individual provider in the NPPES registry on April 6, 2022. The provider is also known as Kylie Knoles-Barnett MD.

Q: What is Kylie Dickerson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Dickerson was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2022PECOS Enrolled

1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2000 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 9, 2023, Apr 6, 2022 (2 updates tracked since 2022).

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About Kylie Dickerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE DICKERSON MD (NPI 1386385938) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386385938

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKYLIE DICKERSONCredential: MD

Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612

Mailing Address22311 Davenrich StSalinas, CA 93908-1042

Phone(602) 839-2000

Sole ProprietorYes

Enumeration DateApril 6, 2022

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1386385938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1111 E MCDOWELL RD, Phoenix, AZ 85006

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Other Names 1

Former Name (1)Kylie Knoles-barnett Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Dickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARRIE LYNN COOK D.O.

Emergency Medicine