Active NPI
Trayce M Dixon, APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3010055
- Practice address
- 1405 Browns LN
Louisville, KY 40207 - Phone
- (502) 896-0495
- NPI assigned
- Jan 28, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3010055 | KY | Primary |
Addresses
Primary practice location
1405 Browns LN
Louisville, KY 40207
Mailing address
9523 US Highway 42 Unit 785
Prospect, KY 40059-5031
Phone (502) 593-8877
Other practice location 1
9520 Ormsby Station Rd Ste 175
Louisville, KY 40223-5021
Phone (502) 426-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100396870 | Medicaid | KY |
Other names 1
- Trayce M Lawson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160211000273 | KY | Practitioner - Nurse Practitioner | 7113221144 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Pinnacle Inpatient Medical Services, PLLC
Practice addresses (Care Compare)
3909 S Wilson Rd
Radcliff, KY 40160-8944
Phone (270) 351-9444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Pinnacle Inpatient Medical Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
9520 Ormsby Station Rd
Ste 175
Louisville, KY 40223
Phone (502) 426-0606
4418 Malcolm Ave
Louisville, KY 40215
Phone (480) 261-2005
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495
9523 US Highway 42
Unit 785
Prospect, KY 40059
3909 S Wilson Rd
Radcliff, KY 40160
Phone (270) 351-8976
Interoperability endpoints
- traycedixon@kysjhspe.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Radcliff, KY
- NPI 1386148856
KY, Nurse Practitioner
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY, Nurse Practitioner
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Pediatric Gastroenterology Physician
- Louisville, KY
- NPI 1598021222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1669839189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9523 US HIGHWAY 42 UNIT 785",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400595031",
"telephone_number": "502-593-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-896-0495"
}
],
"practiceLocations": [
{
"address_1": "9520 Ormsby Station Rd Ste 175",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402235021",
"country_code": "US",
"telephone_number": "502-426-0606",
"fax_number": "502-426-0604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "TRAYCE",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3010055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100396870",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRAYCE",
"last_name": "LAWSON",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.