Individual provider Active NPI

Kaycee Nicole Dixon, FNP-C

  • Family Nurse Practitioner
  • Kodak, TN
National Provider Identifier
1154885531
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25418 Issued in TN
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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 PLLC 2 clinicians
Tennessee Spine Wellness and Medical Group LLC 4 clinicians

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 Hospital, Sevierville, TN, CCN 440081

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25418TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Family Practice Inc Family CurrentSince Aug 1, 2025 Accepting new patients
J&J Medical PLLC Family CurrentSince Aug 1, 2025 Accepting new patients
Mountain Medical Services PLLC Family CurrentSince Aug 5, 2019 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25418 TN Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.