Vongretchen Dixon

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

PCA53420320160525 Issued in MN

Practice address

3018 Russell Ave N
Minneapolis, MN 55411-1017

Phone

(612) 314-9059

NPI assigned

May 31, 2016

Last updated

May 31, 2016By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1518315530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 RUSSELL AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111017",
            "telephone_number": "612-314-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 RUSSELL AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111017",
            "telephone_number": "612-314-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "VONGRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "PCA53420320160525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Division of Indian Work
• Alexis Aliyah Dixon
• Brian John Dixon, MD
• Chet Dixon
• Tammy Jo Dixon
• Dianessa Dizon, MD
• Susan Queen Djavedan I
• DJCM PLLC
• DJM Pca Services LLC
• Doug Dlouhy, PHARMD

• Personal Care Attendant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.