Individual provider Active NPI

Trayce M Dixon, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1669839189
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010055 Issued in KY
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

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100396870MedicaidKY

Other names 1

  • Trayce M Lawson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 17 clinicians

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

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
Pinnacle Inpatient Medical Services, PLLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.