Kelly Herger Dixon, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0050-00471 Issued in NC

Practice address

371 NC Highway 65 Ste 204
Reidsville, NC 27320-8881

Phone

(336) 342-8140

Fax

(336) 342-8356

NPI assigned

Jan 9, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.dixon.1@31785.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockingham County Finance Office

  dba Rockingham County Public Health

  • State or Local Public Health Clinic/Center
  • Reidsville, NC
  • NPI 1306947445
  NPD
• Bray-Maness Physical Therapy Inc.

  • Physical Therapist
  • Asheboro, NC
  • NPI 1821183492
  NPD (past)
• Rockingham County Finance Office

  dba Rockingham County Public Health

  • State or Local Public Health Clinic/Center
  • Wentworth, NC
  • NPI 1043366891
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1245218387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 ALDERNY CIR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659276",
            "telephone_number": "336-681-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NC HIGHWAY 65 STE 204",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208881",
            "telephone_number": "336-342-8140",
            "fax_number": "336-342-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 NC Highway 65 Suite 204",
            "address_purpose": "LOCATION",
            "city": "Wentworth",
            "state": "NC",
            "postal_code": "27375",
            "country_code": "US",
            "telephone_number": "336-342-8140",
            "fax_number": "336-342-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KELLY",
        "middle_name": "HERGER",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "0050-00471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Depasquale, PA
• Suzanna Lynn Devane, RN
• Cheryl Wooten Dew, BA, CSAC
• Aron A Dickerson Sr.
• Shaikia Dillard
• Phillip Everett Dixon, MD
• Richard M Dondiego, M.D.
• Kofi Adeleke Doonquah, M.D.
• Dr. Harold L Jennings
• Dr. Jeff Wayne Johnson DDS

• Women's Health Nurse Practitioner in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Women's Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.