Active NPI
Amanda Elaine Dixon, M.ED., ATC
- Athletic Trainer
- Camp Lejeune, NC
National Provider Identifier
1144843137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-868
- Practice address
- 516B N. Street
Camp Lejeune, NC 28547 - Phone
- (910) 451-7478
- NPI assigned
- May 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-868 | AR | Primary |
Addresses
Primary practice location
516B N. Street
Camp Lejeune, NC 28547
Mailing address
5116 Western Blvd Apt 908
Jacksonville, NC 28546-0022
Phone (859) 421-2261
Other practice location 1
1 University Of Arkansas
Fayetteville, AR 72701-1201
Phone (479) 575-2000
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-868 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1144843137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 WESTERN BLVD APT 908",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285460022",
"telephone_number": "859-421-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516B N. STREET",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-451-7478"
}
],
"practiceLocations": [
{
"address_1": "1 University Of Arkansas",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727011201",
"country_code": "US",
"telephone_number": "479-575-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "AMANDA",
"middle_name": "ELAINE",
"credential": "M.ED., ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2023-07-18",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "AT-868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.