Carolyn Dawn Dixon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339479 Issued in NY

Practice address

200 Egbert Ave
Staten Island, NY 10310-2622

Phone

(917) 445-5772

NPI assigned

Mar 18, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1134512908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EGBERT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102622",
            "telephone_number": "917-445-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EGBERT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102622",
            "telephone_number": "917-445-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CAROLYN",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Ditommaso, LCSW
• Regina Ditrani, CASAC-T
• Jaclyn Ditrento
• Jeffrey Ward Dittus
• Maria Divetta, LPN
• James Christopher Dixon, RPA-C
• Luke Dixon
• Natalie Dixon
• Trie Arni Djunadi, MD
• DLD Endoscopy PLLC

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.