Active NPI
Tawana Nichole Nix, D.O.
- Family Medicine Physician
- Fall River Mills, CA
National Provider Identifier
1649324294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9774
- Practice address
- 43563 1/2 Hwy 299
Fall River Mills, CA 96028 - Phone
- (530) 246-5910
- Fax
- (530) 357-2862
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9774 | CA | Primary |
Addresses
Primary practice location
43563 1/2 Hwy 299
Fall River Mills, CA 96028
Mailing address
PO Box 490
Fall River Mills, CA 96028-0490
Phone (530) 336-6535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000793 | CA | Practitioner - Family Practice | 0749304152 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9774 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayers Memorial Hospital District | Current | Accepting new patients | |
| PHC-Fort Morgan Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Pit River Health Service, Inc. | Past | Accepting new patients | |
| Mayers Memorial Hospital District | Past | Accepting new patients |
Locations
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Skilled Nursing Facility
- Fall River Mills, CA
- NPI 1386763456
-
- Rural Health Clinic/Center
- Burney, CA
- NPI 1891762985
-
- Medicare Defined Swing Bed Hospital Unit
- Fort Morgan, CO
- NPI 1104996826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1649324294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "FALL RIVER MILLS",
"state": "CA",
"postal_code": "960280490",
"telephone_number": "530-336-6535",
"fax_number": "530-294-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43563 1/2 HWY 299",
"city": "FALL RIVER MILLS",
"state": "CA",
"postal_code": "96028",
"telephone_number": "530-246-5910",
"fax_number": "530-357-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "TAWANA",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River Mills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.