Dawn McIlvried Nixon, MS, CGC, LGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

8301 Harcourt Road
Suite 100
Indianaoplis, IN 46260

Phone

(317) 415-6689

Fax

(317) 583-2436

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dawn Ellen McIlvried Former name

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.

• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: dawn.nixon.1@7598.direct.athenahealth.com

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1396734232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT ROAD",
            "address_2": "SUITE 100",
            "city": "INDIANAOPLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-415-6689",
            "fax_number": "317-583-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT ROAD",
            "address_2": "SUITE 100",
            "city": "INDIANAOPLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-415-6689",
            "fax_number": "317-583-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "DAWN",
        "middle_name": "MCILVRIED",
        "name_prefix": "Mrs.",
        "credential": "MS, CGC, LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MCILVRIED",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "MS, CGC, LGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elsa N Fisk, M.D.
• Jessica Gatlin, RBT

• All providers in Indianaoplis, IN
• Genetic Counselor (M.S.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.