Active NPI
Kaycee Nicole Dixon, FNP-C
- Family Nurse Practitioner
- Kodak, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25418
- Practice address
- 2946 Winfield Dunn Pkwy Ste 107
Kodak, TN 37764-4316 - Phone
- (865) 933-9950
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Sevierville, TN
- NPI 1972281384
-
- Family Nurse Practitioner
- Kodak, TN
- NPI 1053610717
-
- General Practice Physician
- Sevierville, TN
- NPI 1992342307
-
- Family Nurse Practitioner
- Sevierville, TN
- NPI 1467529057
NPD FAMILY
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Lincoln Memorial University Medical Department, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jandj Medical PLLCTennessee Spine Wellness and Medical Group LLC
Practice addresses (Care Compare)
208 Prince St
Sevierville, TN 37862-3821
Phone (865) 774-7481
470 Collier Dr
Sevierville, TN 37862-6931
Phone (865) 286-5421
Hospital & facility affiliations
- Leconte Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618002452 | TN | Practitioner - Nurse Practitioner | 9931433323 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25418 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Family Practice Inc | Family | Current | Accepting new patients |
| J&J Medical PLLC | Family | Current | Accepting new patients |
| Mountain Medical Services PLLC | Family | Current | Accepting new patients |
Locations
2946 Winfield Dunn Pkwy
Kodak, TN 37764
Phone (865) 465-3936
2946 Winfield Dunn Pkwy
Ste 107
Kodak, TN 37764
Phone (865) 465-3936
208 Prince St
Sevierville, TN 37862
Phone (865) 774-7481
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25418 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2946 Winfield Dunn Pkwy Ste 107
Kodak, TN 37764-4316
Mailing address
2945 Riley Dr
Kodak, TN 37764-1623
Phone (865) 805-0612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2019.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1154885531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 RILEY DR",
"city": "KODAK",
"state": "TN",
"postal_code": "377641623",
"telephone_number": "865-805-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 WINFIELD DUNN PKWY STE 107",
"city": "KODAK",
"state": "TN",
"postal_code": "377644316",
"telephone_number": "865-933-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KAYCEE",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kodak, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.