Shirley Ann Dixon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10640 N Riverside Dr Ste 300
Fort Worth, TX 76244-9507

Phone

(817) 722-6078

NPI assigned

Mar 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Emmanuel E Sackey MD, PA

  dba dba Ennis Childrens Clinic

  • Pediatrics Physician
  • Ennis, TX
  • NPI 1134304520
  NPD (past)
• Kerrville Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Kerrville, TX
  • NPI 1114292968
  NPD (past)
• Michael S. Fontenot, M.D., P.a.

  • Pediatrics Physician
  • Kerrville, TX
  • NPI 1700101011
  NPD (past)

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1073261574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BEARSKIN TRL",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780287124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449507",
            "telephone_number": "817-722-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Ira E Woods Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760514096",
            "country_code": "US",
            "telephone_number": "817-722-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dixon
• Ellen Dixon
• Jason Allen Dixon, D.C.
• Leigh A Dixon
• Richard Dixon, MD
• Tanya S Dixon, DO
• Abriel Dixson
• Dizziness and Falls Prevention LLC
• Marija Djokovic, MD
• DKT Homecare Services

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.