Carly Dixon, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9121 W Russell Rd Ste 118
Las Vegas, NV 89148-1238

Phone

(702) 262-7490

NPI assigned

Aug 13, 2018

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

Credentials

Master of Science

Practice roles

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.

• Southern Nevada Home Health Care, Inc.

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1194828350
  NPD (past)
• Southern Nevada Home Health Care, Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1386643054
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1578042255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 W KATIE AVE UNIT 2257",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478371",
            "telephone_number": "702-401-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 W RUSSELL RD STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481238",
            "telephone_number": "702-262-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9999 W Katie Ave Unit 2257",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89147",
            "country_code": "US",
            "telephone_number": "702-401-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9999 W Katie Ave Unit 2257",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89147",
            "country_code": "US",
            "telephone_number": "702-401-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CARLY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anza Dixon
• Ashleigh Rae'Niece Dixon, B.S.
• Ashley Nichole Dixon
• Breonda Javonne Dixon, LCPC, LCADC
• Brian Edward Dixon Sr.
• Cecilei Dixon
• Charetta Dixon
• Charity Nikole Dixon
• Chilant Renee Dixon, BSHS
• Chyna Marie Dixon

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.