Active NPI
Jessica Dixon-Tatum, LPN
- Nursing Care Agency
- Buckeye, AZ
National Provider Identifier
1033757877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 8900919
- Practice address
- 401 N 6TH St
Buckeye, AZ 85326-2415 - Phone
- (623) 401-6331
- Fax
- (623) 233-6331
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP040900 | AZ | |
| Nursing Care Agency | 251J00000X | 8900919 | AZ | Primary |
| Home Health Agency | 251E00000X | 8900919 | AZ | |
| Foster Care Agency | 253J00000X | 8900919 | AZ | |
| Child Mental Illness Respite Care | 385HR2055X | 8900919 | AZ |
Addresses
Primary practice location
401 N 6TH St
Buckeye, AZ 85326-2415
Mailing address
401 N 6TH St
Buckeye, AZ 85326-2415
Phone (623) 698-8210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP040900 | AZ | MD | Licensed Practical Nurse |
| 8900919 | AZ | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy's Home LLC | Licensed Practical Nurse | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1033757877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 6TH ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853262415",
"telephone_number": "623-698-8210",
"fax_number": "602-455-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N 6TH ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853262415",
"telephone_number": "623-401-6331",
"fax_number": "623-233-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON-TATUM",
"first_name": "JESSICA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP040900",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AZ",
"license": "8900919",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "8900919",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "8900919",
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "8900919",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.