Dixie Sue Manroe, FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112826 Issued in MO

Practice address

6717 N Oak Trfy
Gladstone, MO 64118-3346

Phone

(816) 468-1411

Fax

(816) 452-4211

NPI assigned

Mar 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15598/brand/1/csg/1/fhir/r4

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.

• Women's Health & Medical Surgical Services

  dba Branson West Physicians Group

  • Family Medicine Physician
  • Branson West, MO
  • NPI 1801894720
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1609996867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-468-1411",
            "fax_number": "816-452-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641183346",
            "telephone_number": "816-468-1411",
            "fax_number": "816-452-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANROE",
        "first_name": "DIXIE",
        "middle_name": "SUE",
        "credential": "FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "112826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION NUMBER",
            "identifier": "0362511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily L Lyons, DPT
• Michelle Anne Madera, MSN, FNP-C
• Cassandra Renee Malcolm, PLPC
• Aysha Malik, PHARMD
• Andrew Mancin
• Shelby Markum, LSCSW, LCSW
• Douglass Eugene Martin, ED.D.
• Emily Kay Marx, D.D.S.
• April J Matusiak
• MC Medical LLC (Walmart Health)

• Family Nurse Practitioner in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.