Audrey Dionne Dillon

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

1000000013286 Issued in TN

Practice address

3679 Ford Rd
Memphis, TN 38109-3614

Phone

(901) 335-7251

NPI assigned

Oct 31, 2013

Last updated

Oct 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1073941993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 FORD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 FORD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093614",
            "telephone_number": "901-335-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "AUDREY",
        "middle_name": "DIONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "1000000013286",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TN",
            "license": "1000000013286",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TN",
            "license": "1000000013286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lethel Dillard, DPH
• Roger Austin Dillard, M.D.
• Tanner Lawrence Dillard
• Felicia Dillon Partee
• Erika Dillon-Echols
• Debra Sue Dillon, MA RN C
• Mary Dillon
• Lindsey Anne Diloreto, MD
• Angelique Vatoco Dilworth, MA
• Stephen Matthew Dimaggio, MD, PHARMD, RPH

• Assisted Living Facility (Mental Illness) in Memphis, TN
• Providers in Memphis, TN by specialty
• Assisted Living Facility (Mental Illness) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.