Marisa Dix, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

35248 Issued in CA

Practice address

1812 W Kettleman LN
Lodi, CA 95242-8224

Phone

(209) 683-3427

NPI assigned

Jul 3, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1265119150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8372 LAFAYETTE ST",
            "city": "MOKELUMNE HILL",
            "state": "CA",
            "postal_code": "952459460",
            "telephone_number": "209-660-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952428224",
            "telephone_number": "209-683-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX",
        "first_name": "MARISA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Hugh Dickey, DDS
• Kathleen J Diehl, DMD
• Jeannette Dileo, PTA
• Mackenzie Dillis
• David Quang Dinh, DDS
• Linh Ho Doan, PHARM D
• Philip A Dodd, MD
• James Dodge, D.C.
• Judith Ann Dolyniuk, MFT-INTERN
• Donald E Hunneshagen M D Inc & Michael Ketelaar M D PTR Hunneshagen DO

• Speech-Language Pathologist in Lodi, CA
• Providers in Lodi, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; 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.