Alia Renee Dixon, FNP-BC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

0001070569 Issued in VA

Practice address

101 Cowardin Ave Ste 101B
Richmond, VA 23224-2078

Phone

(804) 405-7522

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rubies Health Services

  • Adult Medicine Physician
  • Richmond, VA
  • NPI 1689226854
  NPD Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1306226618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 ALDER GROVE LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282662",
            "telephone_number": "804-219-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE STE 101B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-405-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ALIA",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001201422",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "VA",
            "license": "0001070569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Pathways Support Services LLC
• Divine Residential Services, LLC
• Divine Residential Services, LLC.
• Thomas James Dix, DDS
• Neel Dixit, MD
• Brian Karl Dixon
• Caitlin Dixon
• Darian Randale Dixon, MES
• Dave Lin Dixon, PHARMD.
• Lisa Dixon, FNP

• Community Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Community Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.