Individual provider Active NPI

Derricka Shaurice Dixon, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1548046758
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028370 Issued in FL
Practice address
5261 W Hillsboro Blvd Apt 102
Coconut Creek, FL 33073-4547
Phone
(954) 516-4655
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11028370 FL Primary

Addresses

Primary practice location

5261 W Hillsboro Blvd Apt 102
Coconut Creek, FL 33073-4547

Mailing address

5261 W Hillsboro Blvd Apt 102
Coconut Creek, FL 33073-4547
Phone (954) 516-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240229000564 FL Practitioner - Nurse Practitioner 7719322767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Medical Specialists, PAGroup PAC ID 2466604616, 11 clinicians

Practice addresses (Care Compare)

4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11028370FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Medical Specialists, PA CurrentSince Jan 20, 2024 Accepting new patients
Urology Medical Specialists, PA CurrentSince Jan 20, 2024 Accepting new patients

Locations

4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133

601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522

5258 Linton Blvd
Ste 203
Delray Beach, FL 33484
Phone (561) 495-7570

Interoperability endpoints

  • Direct secure messaging: ddixon3318931@direct.trinity-health.org

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1548046758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 W HILLSBORO BLVD APT 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734547",
            "telephone_number": "954-516-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 W HILLSBORO BLVD APT 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734547",
            "telephone_number": "954-516-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DERRICKA",
        "middle_name": "SHAURICE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.