Active NPI
Angela M Dixon, MS, CCC-SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1194998088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1474
- Practice address
- 16410 S 12TH St Apt 233
Phoenix, AZ 85048-4008 - Phone
- (602) 510-8355
- NPI assigned
- Apr 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1474 | AZ | Primary |
Addresses
Primary practice location
16410 S 12TH St Apt 233
Phoenix, AZ 85048-4008
Mailing address
16410 S 12TH Street
#233
Phoenix, AZ 85048
Phone (602) 510-8355
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1474 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1194998088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 S 12TH STREET",
"address_2": "#233",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85048",
"telephone_number": "602-510-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 S 12TH ST APT 233",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850484008",
"telephone_number": "602-510-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.