KANISHA CONRAD DICKENS LPN
NPI 1659625499
Licensed Practical Nurse in Durham, NC

Active since November 01, 2012
12 MOONSTONE CT, DURHAM, NC 27703(866) 654-1113(919) 439-0222 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanisha Conrad Dickens Lpn NPPES

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

KANISHA CONRAD DICKENS LPN (NPI 1659625499) is an individual licensed practical nurse in Durham, North Carolina, licensed in North Carolina (59949) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1659625499
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKANISHA CONRAD DICKENSCredential: LPN
Location Address12 MOONSTONE CTDurham, NC 27703-2682
Mailing Address12 Moonstone CtDurham, NC 27703-1543 · (866) 654-1113 · Fax (919) 439-0222
Fax(919) 439-0222
Sole ProprietorNo
Enumeration DateNovember 1, 2012
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1659625499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NC · 59949
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedNursing Home AdministratorTaxonomy 376G00000X · License FCL-032-122 (NC)
12 MOONSTONE CT, Durham, NC 27703

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 Kanisha Dickens's NPI number?

The NPI number for Kanisha Dickens is 1659625499. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Kanisha Dickens located?

Kanisha Dickens practices at 12 Moonstone Ct, Durham, NC 27703. The listed phone number is (866) 654-1113.

What is Kanisha Dickens's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kanisha Dickens was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.