Tyra R Dixon, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00260900 Issued in NJ

Practice address

1600 Rockland Rd
Wilmington, DE 19803-3607

Phone

(302) 651-4200

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in NJ, PA, DE3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1366594699
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD
• University of Penn-Medical Group

  • Clinical Pathology/Laboratory Medicine Physician
  • Philadelphia, PA
  • NPI 1740678762
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD (past)
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD (past)

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1336475938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Walnut St",
            "address_2": "11th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075176",
            "country_code": "US",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080605517",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 70 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032160",
            "country_code": "US",
            "telephone_number": "856-325-3760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3242 Route 206 Bldg A",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085054517",
            "country_code": "US",
            "telephone_number": "609-444-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080605517",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TYRA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP011419",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00260900",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LH-0010308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0238431",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdixon266064@directvirtua.org",
            "affiliation": "N",
            "address_1": "1945 Route 70 E Ste C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdixon266064@directvirtua.org",
            "affiliation": "N",
            "address_1": "101 Burrs Rd Ste A&b",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080605517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdixon266064@directvirtua.org",
            "affiliation": "N",
            "address_1": "101 Burrs Rd Ste A&b",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080605517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdixon266064@directvirtua.org",
            "affiliation": "N",
            "address_1": "3242 Route 206 Bldg A",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085054517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa A. Ditunno-Lee, CRNA
• Divine Nurses Health Services Inc
• Divya Dixit, MD
• Arshell Dixon
• Heather Dixon, PHARMD, BCPS, BCPP
• Maria Angela Dizon, MD
• Anh DO, RPH
• Kathleen Ann Dobek, PSY.D.
• Rachel Dobkin
• Megan Giovanelli Doble, MSN, CRNP

• Women's Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Women's Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.

Verify at the official NPI Registry.