Individual provider Active NPI

Laura Susan Dixon, NP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1437510492
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18917 Issued in OH
Practice address
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone
(513) 215-5030
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.18917 OH
Nurse Practitioner 363L00000X APRN.CNP.18917 OH Primary

Addresses

Primary practice location

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103

Mailing address

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5030

Other identifiers 1

IdentifierTypeStateIssuer
0165174MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000971 OH Practitioner - Nurse Practitioner 2163711102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18917OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients

Locations

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3300 Mercy Health Blvd
Ste 110
Cincinnati, OH 45211
Phone (513) 215-5030

3300 Mercy Health Blvd
Fl 5
Cincinnati, OH 45211
Phone (513) 215-5030

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1437510492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-215-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-215-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LAURA",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.18917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.