ELAINE BURGESS DICKSON PA
NPI 1407044001
Physician Assistant in Shreveport, LA

Active since October 09, 2007
1500 LINE AVE, STE 100, SHREVEPORT, LA 71101(318) 635-3052(318) 632-6087 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elaine Burgess Dickson Pa NPPES

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

ELAINE BURGESS DICKSON PA (NPI 1407044001) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA200138) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1407044001
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELAINE BURGESS DICKSONCredential: PA
Location Address1500 LINE AVE, STE 100Shreveport, LA 71101
Mailing Address1534 Elizabeth Ave, Suite 201Shreveport, LA 71101-4516 · (318) 629-5002 · Fax (318) 629-5020
Fax(318) 632-6087
Sole ProprietorYes
Enumeration DateOctober 9, 2007
Last NPPES UpdateDecember 8, 2014
NPI 1407044001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · PA200138
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 LINE AVE, Shreveport, LA 71101

Other Names 1

Former Name (1)Elaine C Burgess Pa

Other Identifiers 3

Medicare PIN5B103P895LA
Medicare PINP00435047LA
Medicare PIN5B103LA

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.

Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
1500 LINE AVE
SHREVEPORT, LA 71101
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Dickson's NPI number?

The NPI number for Elaine Dickson is 1407044001. It was assigned to this individual provider in the NPPES registry on October 9, 2007. The provider is also known as Elaine C Burgess PA.

Where is Elaine Dickson located?

Elaine Dickson practices at 1500 Line Ave Ste 100, Shreveport, LA 71101. The listed phone number is (318) 635-3052.

What is Elaine Dickson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Elaine Dickson was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.