Active NPI
Tammy Teresa Stewart-Dixon, FNPC
- Family Nurse Practitioner
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04140
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1141283 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Urgent Care LLC | Current | Accepting new patients | |
| HCC of El Dorado LLC | Current | Accepting new patients | |
| Ess of Nacogdoches LLC | Current | 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
- solecare.llc@direct.meditouchehr.com
- 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.
-
- Clinic/Center
- Monroe, LA
- NPI 1477542744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.