REBECCA RAE DICKERSON CRNP
NPI 1427290337
Nurse Practitioner - Family in Madison, AL

Active since March 24, 2009
12060 COUNTY LINE RD, SUITE D, MADISON, AL 35756(256) 232-0475(256) 232-0429 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Rae Dickerson Crnp NPPES

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

REBECCA RAE DICKERSON CRNP (NPI 1427290337) is an individual family provider in Madison, Alabama, licensed in Alabama (1-093181) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1427290337
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA RAE DICKERSONCredential: CRNP
Location Address12060 COUNTY LINE RD, SUITE DMadison, AL 35756-2003
Mailing Address12060 County Line Rd, Suite DMadison, AL 35756-2003 · (256) 232-0475 · Fax (256) 232-0429
Fax(256) 232-0429
Sole ProprietorYes
Enumeration DateMarch 24, 2009
Last NPPES UpdateMarch 12, 2012
NPI 1427290337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-093181
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1-093181 (AL)
12060 COUNTY LINE RD, Madison, AL 35756

Other Identifiers 1

Medicaid110708AL

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
12060 COUNTY LINE RD, SUITE D
MADISON, AL 35756

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 Rebecca Dickerson's NPI number?

The NPI number for Rebecca Dickerson is 1427290337. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Rebecca Dickerson located?

Rebecca Dickerson practices at 12060 County Line Rd Suite D, Madison, AL 35756. The listed phone number is (256) 232-0475.

What is Rebecca Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebecca Dickerson was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.