Jenetta Felicia Dixon, ASCP CERTIFICATION

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

46298 Issued in VA

Practice address

107 Bonair St
Fredericksburg, VA 22405-2797

Phone

(540) 455-0775

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1619587953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BONAIR ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052797",
            "telephone_number": "540-455-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BONAIR ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052797",
            "telephone_number": "540-455-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JENETTA",
        "middle_name": "FELICIA",
        "credential": "ASCP CERTIFICATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "VA",
            "license": "46298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dmplemobilelab@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mail",
            "address_1": "107 Bonair St",
            "city": "Fredericksbrg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224052797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diversability Solutions, LLC
• Divine Beauty Solutions
• Dixon-Daniels Enterprise LLC
• Brittney Alese Dixon, PT, DPT
• Derreck Dixon, PT, DPT
• Jessica Dixon
• Joshua Dixon, B.S.
• Vera Dixon
• DKB Speech and Language Services PLLC
• DKB Speech and Language Services PLLC

• Phlebology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Phlebology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.