Ebony Dixon, REGISTERD NURSE
Individual provider Active NPI Home Health Registered Nurse · Moody, AL
NPI 1366039141 · NPPES record last updated Dec 28, 2020
Key facts
- NPI
- 1366039141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 1-149344 (AL)
- Practice address
- 2010 Queens CT
Moody, AL 35004-3514 - Phone
- (205) 421-8644
- NPI assigned
- Dec 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-149344 | AL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feels Like Home Senior Care Agency, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | 1-149344 | AL | Yes |
Addresses
Primary practice location
2010 Queens CT
Moody, AL 35004-3514
Mailing address
2010 Queens CT
Moody, AL 35004-3514
Phone (205) 421-8644
Other providers in Moody, AL
- Kasey S Davis
- Emily Lindsey Dawson
- Dental Office of Moody Inc
- Emily Depew
- Mathew Akache Dimassi
- Joy D Donaldson
- Renae M Dorroh
- Dpi of Alabama LLC
- Dr. Shawn Stubbs D.C.
- Gabrielle Amelia Dussett
All providers in Moody, AL · Home Health Registered Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.