Individual provider Active NPI

Patricia Marie Dixson, FNP

  • Family Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1104363449
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004383 Issued in CA
Practice address
3100 Douglas Blvd
Suite 325
Roseville, CA 95661-3866
Phone
(916) 241-9844
Fax
(916) 241-9845
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004383 CA Primary
Family Nurse Practitioner 363LF0000X AP130917 TX

Addresses

Primary practice location

3100 Douglas Blvd
Suite 325
Roseville, CA 95661-3866

Mailing address

2300 Oakdale Rd
Apt 155
Modesto, CA 95355-2687
Phone (504) 610-4436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, LA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170517002847 CA Practitioner - Nurse Practitioner 8820365109 Reassigns benefits to 1 organization
I20231212001382 TX Practitioner - Nurse Practitioner 8820365109 Reassigns benefits to 1 organization
I20231214002051 LA Practitioner - Nurse Practitioner 8820365109 Reassigns benefits to 1 organization
I20240419002705 NY Practitioner - Nurse Practitioner 8820365109 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130917TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Jan 9, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Mar 13, 2024 Accepting new patients
Steadfast Healthcare Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 29, 2023 Accepting new patients
Signify Health, LLC CurrentSince Oct 31, 2023 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1104363449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OAKDALE RD",
            "address_2": "APT 155",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552687",
            "telephone_number": "504-610-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DOUGLAS BLVD",
            "address_2": "SUITE 325",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613866",
            "telephone_number": "916-241-9844",
            "fax_number": "916-241-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXSON",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004383",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.