Individual provider Active NPI

Brenda L Dixon, APRN, WHNP

  • Adult Health Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1144378738
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003469 Issued in CT
Practice address
761 Main St
Norwalk, CT 06851
Phone
(203) 644-1100
Fax
(203) 644-1111
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 003469 CT
Adult Health Nurse Practitioner 363LA2200X 003469 CT Primary

Addresses

Primary practice location

761 Main St
Norwalk, CT 06851

Mailing address

761 Main St
Norwalk, CT 06851
Phone (203) 644-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000423 CT Practitioner - Nurse Practitioner 1153422621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

60 Crouch Ave
Norwich, CT 06360-7329
Phone (718) 298-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003469CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Adult Health CurrentSince May 1, 2022 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Fairfield County Medical Services Inc CurrentSince Oct 1, 2013 Accepting new patients
Step Up Care PC LLC CurrentSince Nov 1, 2020 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Prohealth Physicians PC Adult Health PastSince Jan 1, 2022 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

38 East Ave
New Canaan, CT 06840
Phone (203) 594-9520

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

1 Burr Rd
Westport, CT 06880
Phone (203) 226-4201

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 7

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1144378738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-644-1100",
            "fax_number": "203-644-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-644-1100",
            "fax_number": "203-644-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "APRN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "003469",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.