Active NPI
Leslie S. Dixon, MD
- Psychiatry Physician
- Biddeford, ME
National Provider Identifier
1104869197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD19649
- Practice address
- 2 Springbrook Dr
Biddeford, ME 04005-9443 - Phone
- (207) 282-1500
- Fax
- (207) 282-2581
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9400233 | NC | |
| Psychiatry Physician | 2084P0800X | MD19649 | ME | Primary |
Addresses
Primary practice location
2 Springbrook Dr
Biddeford, ME 04005-9443
Mailing address
78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 661-6654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8928566 | Medicaid | NC |
Other names 1
- Leslie Susan Williamson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400233 | NC | MD | Psychiatry Physician |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1104869197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ATLANTIC PL",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062316",
"telephone_number": "207-661-6654",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SPRINGBROOK DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059443",
"telephone_number": "207-282-1500",
"fax_number": "207-282-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LESLIE",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9400233",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "MD19649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8928566",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "WILLIAMSON",
"middle_name": "SUSAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.