Amanda Marie Dixon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024028 Issued in OH

Practice address

6394 Thornberry CT Ste 820
Mason, OH 45040-7810

Phone

(513) 492-8541

Fax

(513) 445-3815

NPI assigned

Dec 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  Medicare reassignment NPD
• Mason Family Medicine & Associates LLC

  • Family Medicine Physician
  • Mason, OH
  • NPI 1487951836
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1053883751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT STE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-445-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6394 THORNBERRY CT STE 820",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407810",
            "telephone_number": "513-492-8541",
            "fax_number": "513-445-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F12180172",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.024028",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4566116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Claire Dimeo
• Discount Drug Mart Inc
• Jessica Lyn Ditommaso, MS, RD, LD
• Tabitha Hope Dittman
• Jamee Diver, IBCLC
• Heather Dlugosz, MD
• Anissa Louise Dobzynecki
• Doctors Urgent Care Offices Medical Group Inc
• Kyla Marie Doepel, MED, BCBA, COBA, LBA
• Alyssa Donahue, O.D.

• Family Nurse Practitioner in Mason, OH
• Providers in Mason, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.