Individual provider Active NPI

Tatanisha Laverne Dixon, BSN, RN, LMT, HNB-BC

  • Nurse Massage Therapist (NMT)
  • Temple Terrace, FL
National Provider Identifier
1386537090
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
MA106366 Issued in FL
Practice address
10948 N 56TH St Ste 201
Temple Terrace, FL 33617-3001
Phone
(813) 358-8978
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN9514719 FL
Diabetes Educator Registered Nurse 163WD0400X RN9514719 FL
Massage Therapist 225700000X MT.0026745 CO
Massage Therapist 225700000X MA106366 FL
Nurse Massage Therapist (NMT) 163WM1400X MA106366 FL Primary

Addresses

Primary practice location

10948 N 56TH St Ste 201
Temple Terrace, FL 33617-3001

Mailing address

8312 Arabian Dunes PL
Riverview, FL 33578-8603
Phone (813) 244-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9514719FLMDCommunity Health Registered Nurse
MA106366FLMDNurse Massage Therapist (NMT)
MT.0026745COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1386537090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 ARABIAN DUNES PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788603",
            "telephone_number": "813-244-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10948 N 56TH ST STE 201",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173001",
            "telephone_number": "813-358-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TATANISHA",
        "middle_name": "LAVERNE",
        "credential": "BSN, RN, LMT, HNB-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9514719",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN9514719",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0026745",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA106366",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "FL",
            "license": "MA106366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.