Individual provider Active NPI

Daniel R Hixson, CNP

  • Nurse Practitioner
  • Painesville, OH
National Provider Identifier
1699710699
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP06505 Issued in OH
Practice address
7 W Jackson St
Painesville, OH 44077-3210
Phone
(440) 357-6740
Fax
(440) 357-7906
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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 NP06505 OH Primary

Addresses

Primary practice location

7 W Jackson St
Painesville, OH 44077-3210

Mailing address

7 W Jackson St
Painesville, OH 44077-3210
Phone (440) 357-6740

Other identifiers 1

IdentifierTypeStateIssuer
2304474MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP06505OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc. Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Clinic Regional Physicians LLC Past Accepting new patients
Lake Hospital System Inc Nurse Practitioner Past Accepting new patients
Meridia Medical Group, LLC Past Accepting new patients
Lake Hospital System Past Accepting new patients

Organizations & group practices 6

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1699710699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W JACKSON ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773210",
            "telephone_number": "440-357-6740",
            "fax_number": "440-357-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W JACKSON ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773210",
            "telephone_number": "440-357-6740",
            "fax_number": "440-357-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP06505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.