Individual provider Active NPI

Dixie Marie Bennett Andelman, F.N.P.

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1063648434
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117983 Issued in TX
Practice address
14254 Spid Dr Ste 207
Corpus Christi, TX 78418
Phone
(361) 589-4068
Fax
(361) 589-4079
NPI assigned
May 29, 2009
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 684604 TX
Family Nurse Practitioner 363LF0000X 684604 TX
Family Nurse Practitioner 363LF0000X AP117983 TX Primary

Addresses

Primary practice location

14254 Spid Dr Ste 207
Corpus Christi, TX 78418

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 884-2904

Other practice location 1

2606 Hospital Blvd
Corpus Christi, TX 78405-1804
Phone (361) 902-4000

Other names 1

  • Dixie Marie Ledger Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
684604TXMDNurse Practitioner
AP117983TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osvaldo a Brusco MD PA PastSince Jan 11, 2010 Accepting new patients
Access Urgent Care-Kingsville LLC PastSince Apr 10, 2018 Accepting new patients
Abk Emergency Physicians PLLC Nurse Practitioner Past Accepting new patients

Organizations & group practices 3

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1063648434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-857-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 SPID DR STE 207",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-589-4068",
            "fax_number": "361-589-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Hospital Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051804",
            "country_code": "US",
            "telephone_number": "361-902-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDELMAN",
        "first_name": "DIXIE",
        "middle_name": "MARIE BENNETT",
        "name_prefix": "Dr.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "684604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "LEDGER",
            "middle_name": "MARIE",
            "credential": "F.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.