Active NPI
Carolyn Theresa Dixon, CNP
- Family Nurse Practitioner
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA. 14271-NP
- Practice address
- 36100 Euclid Ave Ste 350
Willoughby, OH 44094-4489 - Phone
- (440) 449-1540
- Fax
- (440) 460-2833
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN361222 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA. 14271-NP | OH | Primary |
Addresses
Primary practice location
36100 Euclid Ave Ste 350
Willoughby, OH 44094-4489
Mailing address
PO Box 931596
Cleveland, OH 44193-1724
Phone (440) 449-1540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-3433
Phone (440) 449-1540
Hospital & facility affiliations
- Cleveland Clinic
- Hillcrest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN361222 | OH | MD | Registered Nurse |
| COA. 14271-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Atrium Medical Group, Inc | Current | Accepting new patients | |
| Ravi Krishnan MD LLC | Current | Accepting new patients | |
| Mukunda Medical Group LLC | Past | Accepting new patients | |
| Lake Heart Center LLC | Past | Accepting new patients |
Locations
6559 Wilson Mills Rd
Ste 106A
Mayfield Village, OH 44143
Phone (216) 264-6603
6555 Wilson Mills Rd
Ste 103D
Mayfield Village, OH 44143
Phone (440) 442-8313
6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540
124 Liberty St
Ste B
Painesville, OH 44077
Phone (216) 352-4956
35717 Euclid Ave
Willoughby, OH 44094
Phone (440) 354-0944
36100 Euclid Ave
Ste 350
Willoughby, OH 44094
Phone (440) 942-9308
Interoperability endpoints
- cdixon235779@direct.ccf.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Willoughby, OH
- NPI 1851340822
-
- Internal Medicine Physician
- Mayfield Village, OH
- NPI 1043915770
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Interventional Cardiology Physician
- Painesville, OH
- NPI 1922419142
-
- Internal Medicine Physician
- Mayfield Village, OH
- NPI 1578267647
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1003153644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931596",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441931724",
"telephone_number": "440-449-1540",
"fax_number": "440-460-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36100 EUCLID AVE STE 350",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944489",
"telephone_number": "440-449-1540",
"fax_number": "440-460-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "CAROLYN",
"middle_name": "THERESA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN361222",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA. 14271-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.