Individual provider Active NPI

Katie F. Dixon, NP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1689936346
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1102057 Issued in AL
Practice address
2018 Brookwood Medical Ctr Dr
Ste. 206
Birmingham, AL 35209-6898
Phone
(205) 250-8100
Fax
(205) 250-8995
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1102057 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Ctr Dr
Ste. 206
Birmingham, AL 35209-6898

Mailing address

PO Box 830230
Birmingham, AL 35283-0230
Phone (205) 250-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120725000918 AL Practitioner - Nurse Practitioner 3476719030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1102057ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norwood Clinic Inc CurrentSince Jul 1, 2012 Accepting new patients

Locations

2018 Brookwood Medical Ctr Dr
Ste 206
Birmingham, AL 35209
Phone (205) 250-8100

2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1689936346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830230",
            "telephone_number": "205-250-6006",
            "fax_number": "205-250-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "STE. 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-250-8100",
            "fax_number": "205-250-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KATIE",
        "middle_name": "F.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1102057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.