Individual provider Active NPI

Verisha Virginia Dixon, MEDICAL ASSISTANT

  • Military Health Care Provider
  • Garden Ridge, TX
National Provider Identifier
1609179159
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Practice address
81945 FM 2252 Ste 115
Cheroke Medical Services
Garden Ridge, TX 78266
Phone
(619) 319-0410
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X CA Primary
Independent Duty Corpsman 1710I1002X CA

Addresses

Primary practice location

81945 FM 2252 Ste 115
Cheroke Medical Services
Garden Ridge, TX 78266

Mailing address

8179 Jordan St
San Diego, CA 92123-2006
Phone (619) 319-0410

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1609179159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8179 JORDAN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232006",
            "telephone_number": "619-319-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81945 FM 2252 STE 115",
            "address_2": "CHEROKE MEDICAL SERVICES",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "78266",
            "telephone_number": "619-319-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "VERISHA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.