Kenneth Willie Dickerson
Driver β’ Houston, TX
15530 Ella Blvd Apt 719
Houston, TX 77090
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
15530 Ella Blvd Apt 719
Houston, TX 77090
What Public CMS Data Show
Driver: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Houston and Texas
132 active clinicians are listed under Driver with a practice address in Houston, TX (496 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
0% of these 132 clinicians have the CMS telehealth indicator.
0% of these 132 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
NUCC Taxonomy Code: 405300000X
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 15530 ELLA BLVD APT 719, HOUSTON, TX 77090 (Tel: 8328921079)
Registered at 15530 ELLA BLVD APT 719, HOUSTON, TX 770905310 (Tel: 8328921079)
Recorded as KENNETH DICKERSON
Prevention Professional (license number reported to NPPES: TX 24512126)
Driver (license number reported to NPPES: TX 24512126)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
15530 Ella Blvd Apt 719
Houston, TX 770905310
Phone: 8328921079