Coress L Dixon

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5604 Baldoyle Way
Canal Winchester, OH 43110-7946

Phone

(614) 257-7747

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1245097906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 BALDOYLE WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107946",
            "telephone_number": "614-257-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 BALDOYLE WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107946",
            "telephone_number": "614-257-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CORESS",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatoumata Diarra
• Gabrielle Lynn Dickson, R.N.
• Diley Medical Group LLC
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• Andrew Scott Dinicola, DPT
• Tien Duy DO, D.D.S.
• Donald R Sutton, DDS Inc.
• Loretta Marie Douglas
• Amanda Morgan Drake
• Greg Drake

• Community Health Worker in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.