Individual provider Active NPI

Carolyn Theresa Dixon, CNP

  • Family Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1003153644
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA. 14271-NP Issued in OH
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

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000222 OH Practitioner - Nurse Practitioner 8820234230 Reassigns benefits to 2 organizations

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
Atrium Medical Group IncGroup PAC ID 4385626936, 12 clinicians

Practice addresses (Care Compare)

6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-3433
Phone (440) 449-1540

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN361222OHMDRegistered Nurse
COA. 14271-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Atrium Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Ravi Krishnan MD LLC CurrentSince Jul 1, 2023 Accepting new patients
Mukunda Medical Group LLC Past Accepting new patients
Lake Heart Center LLC PastSince Feb 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.