Active NPI
Cheryl Lynn Dixon, MD
- Anesthesiology Physician
- Jacksonville, FL
National Provider Identifier
1174500029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME53494
- Practice address
- 1370 13TH Ave S
Suite 121
Jacksonville, FL 32250-3230 - Phone
- (904) 421-2119
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME53494 | FL | |
| Anesthesiology Physician | 207L00000X | ME53494 | FL | Primary |
Addresses
Primary practice location
1370 13TH Ave S
Suite 121
Jacksonville, FL 32250-3230
Mailing address
851 Trafalgar Court
Suite 200E
Orlando, FL 32751
Phone (407) 667-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062789500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME53494 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Woeste Jr MD & Assoc PA | Pain Medicine | Past | Accepting new patients |
Interoperability endpoints
- cheryl.dixon.1@16002.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Jacksonville Beach, FL
- NPI 1639280233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1174500029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 TRAFALGAR COURT",
"address_2": "SUITE 200E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32751",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 13TH AVE S",
"address_2": "SUITE 121",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503230",
"telephone_number": "904-421-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME53494",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME53494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062789500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.