Jody Lyn Dixon, BA
Individual provider Active NPI Case Manager/Care Coordinator · Braham, MN
NPI 1366694473 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1366694473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 521 Broadway Avenue North
Five County Mental Health Center - Braham Office
Braham, MN 55006 - Phone
- (320) 396-3333
- Fax
- (320) 396-3363
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five County Mental Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
521 Broadway Avenue North
Five County Mental Health Center - Braham Office
Braham, MN 55006
Mailing address
PO Box 287
521 Broadway Avenue North
Braham, MN 55006
Phone (320) 396-3333
Other providers in Braham, MN
- Roxanne Lynn Anderson
- Braham Family Dental
- Robert D Copic
- Destine in-Home Care Services, Inc
- Andrea Downing
- East Central Dental Clinic, PA
- Five County Mental Health Center
- Lois June Flor
- Dale Conrad Forslin
All providers in Braham, MN · Case Manager/Care Coordinator in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. 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.