Judy Ann Dixon, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

RTC Great Lakes BLDG 1523
Great Lakes, IL 60088

Phone

(847) 688-5568

Fax

(847) 688-4413

NPI assigned

Jul 18, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467451948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 2ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447225",
            "telephone_number": "847-688-5568",
            "fax_number": "847-688-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RTC GREAT LAKES BLDG 1523",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-5568",
            "fax_number": "847-688-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Neil Dehoogh, D.D.S.
• Arnold Gary Delfiner, D.D.S.
• Stephen Phillip Demien, LMFT
• Irve Denenberg, OD
• Alexandre Derevianko
• Michael Shawn Donoghue, D.D.S.
• Jimi Michelle Doty, NP
• Adam Robert Dziedzic, P.A.-C
• Chris Ebert, IDC
• Alex Dale Ehrlich, D.D.S.

• Registered Nurse in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.