Individual provider Active NPI

Katie Jo Dixon, FNP-C

  • Primary Care Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1437757432
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1015498 Issued in TX
Practice address
195 S Hasler Blvd
B-1
Bastrop, TX 78602
Phone
(512) 308-1555
Fax
(512) 308-1565
NPI assigned
Oct 12, 2020
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1015498 TX Primary

Addresses

Primary practice location

195 S Hasler Blvd
B-1
Bastrop, TX 78602

Mailing address

5310 Joe Sayers Ave
Apartment 205
Austin, TX 78756
Phone (512) 790-4376

Other practice location 1

5310 Joe Sayers Ave Apt 205
Austin, TX 78756-2132
Phone (512) 790-4376

Other names 1

  • Katie Jo Dixon-Blaboe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230929001815 TX Practitioner - Nurse Practitioner 3971957507 Reassigns benefits to 2 organizations
I20231004003850 CA Practitioner - Nurse Practitioner 3971957507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bastrop Medical Clinic, PAGroup PAC ID 8628074705, 2 clinicians

Practice addresses (Care Compare)

195 S Hasler Blvd
Bastrop, TX 78602-4081
Phone (512) 308-1555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015498TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bastrop Medical Clinic, PA CurrentSince Apr 8, 2024 Accepting new patients
Jonathan Larson MD PC CurrentSince Jul 31, 2023 Accepting new patients
Central Texas Holistic Care PLLC PastSince Aug 25, 2024 Accepting new patients

Locations

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

195 S Hasler Blvd
Ste B1
Bastrop, TX 78602
Phone (254) 245-9045

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1437757432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 JOE SAYERS AVE",
            "address_2": "APARTMENT 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-790-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S HASLER BLVD",
            "address_2": "B-1",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-308-1555",
            "fax_number": "512-308-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Joe Sayers Ave Apt 205",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787562132",
            "country_code": "US",
            "telephone_number": "512-790-4376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1015498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DIXON-BLABOE",
            "middle_name": "JO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.