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MR. RICHARD TIMOTHY DICKERSON JR. CRNA
NPI 1518033612
Nurse Anesthetist, Certified Registered in Liberal, KS

Active since November 28, 2006
315 W 15TH ST, SWMC - ANESTHESIA, LIBERAL, KS 67901(620) 629-6682 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Richard Timothy Dickerson Jr. Crna NPPES

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

MR. RICHARD TIMOTHY DICKERSON JR. CRNA (NPI 1518033612) is an individual nurse anesthetist, certified registered in Liberal, Kansas, licensed in Kansas (55580) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1518033612
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RICHARD TIMOTHY DICKERSON JR.Credential: CRNA
Location Address315 W 15TH ST, SWMC - ANESTHESIALiberal, KS 67901-2455
Mailing Address315 W 15th St, Swmc - AnesthesiaLiberal, KS 67901-2455 · (620) 629-6682
Phone(620) 629-6682
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateMay 24, 2013
✔ NPI 1518033612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in KS · 55580✔ Licensed in AL · 1-08001✔ Licensed in CO · 199844
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
315 W 15TH ST, Liberal, KS 67901
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Other Identifiers 3

Medicaid999999AL
Medicare UPIN9999999AL
Medicare ID-Type Unspecified999999AL · Pending

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.

CARMELITA CAEDO MD RADIOLOGY PA
Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
SOUTHWEST MEDICAL CENTER
Internal Medicine
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
UNNATI BASNYAT PA-C
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 629-6477
ROYCE E FRAZIER LCMFT
Marriage & Family Therapist
315 W 15TH ST, BOX 1340
LIBERAL, KS 67901
Seward County (620) 624-1651
CARMELITA D CAEDO MD
Radiology (Pediatric Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
DR. CHRISTOPHER DOUGLAS KOONS PHARM. D.
Pharmacist
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
LAUREN TAYLOR BOYCE PA-C
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 629-6477
SOUTHWEST MEDICAL CENTER
Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651

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 Richard Dickerson's NPI number?

The NPI number for Richard Dickerson is 1518033612. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Richard Dickerson located?

Richard Dickerson practices at 315 W 15th St Swmc - Anesthesia, Liberal, KS 67901. The listed phone number is (620) 629-6682.

What is Richard Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Richard Dickerson was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.