Active NPI
Ingrid R Dixon, BSN, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Oklahoma City, OK
National Provider Identifier
1578833307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 109597
- Practice address
- 1200 Everett Dr
Oklahoma City, OK 73104-5047 - Phone
- (405) 271-6827
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 109597 | OK | Primary |
Addresses
Primary practice location
1200 Everett Dr
Oklahoma City, OK 73104-5047
Mailing address
PO Box 269025
Oklahoma City, OK 73126-9025
Phone (405) 271-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109597 | OK | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1578833307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269025",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731269025",
"telephone_number": "405-271-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-6827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "INGRID",
"middle_name": "R",
"credential": "BSN, RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OK",
"license": "109597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.