Active NPI
Kim Dixon, RN
- School Registered Nurse
- Fort Mill, SC
National Provider Identifier
1609213404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R104817
- Practice address
- 1400 A O Jones Blvd
Fort Mill, SC 29715-1625 - Phone
- (803) 835-0012
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R104817 | SC | Primary |
Addresses
Primary practice location
1400 A O Jones Blvd
Fort Mill, SC 29715-1625
Mailing address
2233 Deerfield Dr
Fort Mill, SC 29715-6941
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R104817 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1609213404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 DEERFIELD DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297156941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 A O JONES BLVD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297151625",
"telephone_number": "803-835-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KIM",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "R104817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.