Individual provider Active NPI

Elizabeth Renee Dixon, NP

  • Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1497266753
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704287993 Issued in MI
Practice address
30335 W 13 Mile Rd Ste 103
Farmington Hills, MI 48334-2262
Phone
(248) 419-3400
Fax
(248) 419-3410
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704287993 MI Primary

Addresses

Primary practice location

30335 W 13 Mile Rd Ste 103
Farmington Hills, MI 48334-2262

Mailing address

30335 W 13 Mile Rd Ste 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180911002944 MI Practitioner - Nurse Practitioner 6608126784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldman and Miller Cardiology, P.C.Group PAC ID 5890763759, 3 clinicians

Practice addresses (Care Compare)

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldman and Miller Cardiology, P.C. CurrentSince Jan 1, 2020 Accepting new patients

Locations

30335 W 13 Mile Rd
Farmington Hills, MI 48334
Phone (248) 626-6500

30335 W 13 Mile Rd
Ste 103
Farmington Hills, MI 48334
Phone (248) 419-3400

Interoperability endpoints

  • Direct secure messaging: edixon771427@direct.hfhs.org

Organizations & group practices 1

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1497266753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ELIZABETH",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704287993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.