Steadfast Healthcare

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

STEADFAST HEALTHCARE

Practice address

17188 Airline Hwy Ste M#538
Prairieville, LOUISIANA 70769

Phone

(225) 725-1511

Fax

(225) 209-1423

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Patricia Dixson, NURSE PRACTITIONERNPI 1104363449

Title

Nurse Practitioner

Phone

(504) 610-4436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Marie Dixson, FNP

  • Family Nurse Practitioner
  • Roseville, CA
  • NPI 1104363449
  NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1093488348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOMERUN PKWY",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703468458",
            "telephone_number": "504-610-4436",
            "fax_number": "225-209-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17188 AIRLINE HWY STE M#538",
            "city": "PRAIRIEVILLE",
            "state": "LOUISIANA",
            "postal_code": "70769",
            "telephone_number": "225-725-1511",
            "fax_number": "225-209-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-10-28",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "DIXSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "504-610-4436",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.