Individual provider Active NPI

Tammy Teresa Stewart-Dixon, FNPC

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1205947215
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04140 Issued in LA
Practice address
2803 Evangeline St
Monroe, LA 71201-3749
Phone
(318) 325-0325
Fax
(318) 326-0316
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04140 LA Primary

Addresses

Primary practice location

2803 Evangeline St
Monroe, LA 71201-3749

Mailing address

2803 Evangeline
Monroe, LA 71201
Phone (318) 820-4065

Other identifiers 1

IdentifierTypeStateIssuer
1141283MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, TX3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040826000160 LA Practitioner - Nurse Practitioner 5890769681 Reassigns benefits to 1 organization
I20140609001596 AR Practitioner - Nurse Practitioner 5890769681 Reassigns benefits to 1 organization
I20211208002119 TX Practitioner - Nurse Practitioner 5890769681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Urgent Care LLCGroup PAC ID 6608181516, 11 clinicians

Practice addresses (Care Compare)

2020 Tower Dr
Suite 100
Monroe, LA 71201-5036
Phone (318) 966-6220

3424 Cypress St
West Monroe, LA 71291-7310
Phone (318) 450-4626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Urgent Care LLC CurrentSince Sep 1, 2021 Accepting new patients
HCC of El Dorado LLC CurrentSince Nov 19, 2023 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Sep 13, 2021 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

3424 Cypress St
West Monroe, LA 71291
Phone (318) 450-4626

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Interoperability endpoints

  • Direct secure messaging: solecare.llc@direct.meditouchehr.com
  • Direct secure messaging: tstewartdixon4205823@direct.casso.us.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1205947215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 EVANGELINE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-820-4065",
            "fax_number": "318-325-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 EVANGELINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013749",
            "telephone_number": "318-325-0325",
            "fax_number": "318-326-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-DIXON",
        "first_name": "TAMMY",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141283",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.