Individual provider Active NPI

Sandra Dixon Knudson, R.N.N.P.

  • Pediatric Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1114917671
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3089 Issued in CA
Practice address
7555 N del Mar Ave
#101
Fresno, CA 93711-6860
Phone
(559) 353-7125
Fax
(559) 353-7463
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 235654 CA
Pediatric Registered Nurse 163WP0200X 235654 CA
Pediatric Nurse Practitioner 363LP0200X 3089 CA Primary

Addresses

Primary practice location

7555 N del Mar Ave
#101
Fresno, CA 93711-6860

Mailing address

5635 N 4TH St
Fresno, CA 93710-6331
Phone (559) 285-7188

Other names 1

  • Miss Sandra Jean Dixon Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
235654CAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Homecare Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Organizations & group practices 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114917671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 N 4TH ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106331",
            "telephone_number": "559-285-7188",
            "fax_number": "559-353-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 N DEL MAR AVE",
            "address_2": "#101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116860",
            "telephone_number": "559-353-7125",
            "fax_number": "559-353-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "SANDRA",
        "middle_name": "DIXON",
        "name_prefix": "Mrs.",
        "credential": "R.N.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "235654",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "235654",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DIXON",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.