Thad Shane Dickson, CPHIMS, PMP
NPI 1386930733ActiveIndividual· Specialist/Technologist, Other· Lakebay, WA
Specialist/Technologist, Other (CPHIMS, PMP) in Lakebay, Washington, licensed in WA, with an NPI issued in June 2011.
Overview
| NPI | 1386930733 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPHIMS, PMP |
| Sole proprietor | No |
| NPI issued | Jun 23, 2011 |
| Last updated in NPPES | May 7, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | CPHIMS - 1592 | WA |
| Counselor, Mental Health | 101YM0800X | — | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Other providers in Lakebay
- 1447546809