Active NPI
Lerome Dixon
- In Home Supportive Care Agency
- Round Rock, TX
National Provider Identifier
1710411996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 80-0417468
- Practice address
- 402 W Palm Valley Blvd Ste a
Round Rock, TX 78664-4200 - Phone
- (512) 373-2353
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 80-04174687 | TX | |
| In Home Supportive Care Agency | 253Z00000X | 80-0417468 | TX | Primary |
Addresses
Primary practice location
402 W Palm Valley Blvd Ste a
Round Rock, TX 78664-4200
Mailing address
402 W Palm Valley Blvd Ste 243
Round Rock, TX 78664-4200
Phone (512) 373-2353
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710411996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W PALM VALLEY BLVD STE 243",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644200",
"telephone_number": "512-373-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W PALM VALLEY BLVD STE A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644200",
"telephone_number": "512-373-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LEROME",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "TX",
"license": "80-04174687",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "80-0417468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.