Active NPI
Kelly Joann Dixon
- Private Vehicle
- Richmond Dale, OH
National Provider Identifier
1043041585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- RN061751
- Practice address
- 316 Market St
Richmond Dale, OH 45673-9728 - Phone
- (740) 649-4535
- NPI assigned
- Aug 7, 2024
- Last updated
- Aug 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | RN061751 | OH | Primary |
Addresses
Primary practice location
316 Market St
Richmond Dale, OH 45673-9728
Mailing address
316 Market St
Richmond Dale, OH 45673-9728
Phone (740) 649-4535
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 |
|---|---|---|---|
| RN061751 | OH | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1043041585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MARKET ST",
"city": "RICHMOND DALE",
"state": "OH",
"postal_code": "456739728",
"telephone_number": "740-649-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MARKET ST",
"city": "RICHMOND DALE",
"state": "OH",
"postal_code": "456739728",
"telephone_number": "740-649-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KELLY",
"middle_name": "JOANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "RN061751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Dale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.