Individual provider Active NPI

Marquita Dixon, FNP

  • Family Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1073349635
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237413 Issued in LA
Practice address
505 Royal St Ste B
Natchitoches, LA 71457-5728
Phone
(318) 352-2971
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 237413 LA Primary

Addresses

Primary practice location

505 Royal St Ste B
Natchitoches, LA 71457-5728

Mailing address

505 Royal St Ste B
Natchitoches, LA 71457-5728
Phone (318) 352-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20250114002306 LA Practitioner - Nurse Practitioner 1759704109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
237413LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Medical Specialists CurrentSince Nov 7, 2024 Accepting new patients
Natchitoches Medical Specialists CurrentSince Nov 7, 2024 Accepting new patients
Access Health Louisiana PastSince Sep 11, 2022 Accepting new patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana Past Accepting new patients

Locations

505 Royal St
Ste B
Natchitoches, LA 71457
Phone (318) 352-2971

Interoperability endpoints

  • Direct secure messaging: marquita.dixon.1@11331.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elara CaringNatchitoches, LA, CCN 197120 Home health agency Operational/Managerial Control Nov 12, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1073349635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROYAL ST STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575728",
            "telephone_number": "318-352-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROYAL ST STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575728",
            "telephone_number": "318-352-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARQUITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.