Nicole Dixon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9266561-3506 Issued in UT

Practice address

1140 36TH St
Ogden, UT 84403-2050

Phone

(801) 392-0310

NPI assigned

Dec 21, 2015

Reactivated

Aug 20, 2021

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solace Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blackfoot, ID
  • NPI 1578137980
  NPD Authorized official

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1104281997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032050",
            "telephone_number": "801-392-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "deactivation_date": "2021-08-04",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9266561-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Dinh-Nguyen
• Austin Paul Dinkel, DO
• Patricia Ann Dirks
• Diversified Professional Company
• Diversified Professional Company
• Pegah Christine Dixon, A.P.R.N., W.H.N.P.
• Kylia Dobson
• Parker Stringham Dobson, MD
• Shayley Rae Dockstader, FNP-BC
• Michiel Alexis Dodson, DNP, APRN, FNP-C

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.