Taletha Dixon

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

376G00000X Issued in NC

Practice address

5601 Poplin Rd
Indian Trail, NC 28079-6726

Phone

(704) 882-4295

Fax

(704) 882-4295

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Dixon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Karizma Infinities Family Care Home

  • Assisted Living Facility
  • Indian Trail, NC
  • NPI 1548725849
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1720489669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 POPLIN RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796726",
            "telephone_number": "704-882-4295",
            "fax_number": "704-882-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 POPLIN RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796726",
            "telephone_number": "704-882-4295",
            "fax_number": "704-882-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TALETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NC",
            "license": "376G00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DIXON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Milagros Diaz, D.D.S.
• Laura Digioia, PT
• Leshawn Wilson Dimery, LCSWA
• Din Lam DMD, MD, PLLC
• Jennifer Lynn Dion, RPH
• Stephanie Donovan, OTRL
• James Grant Dorough, RPH
• Dr Kara Mild Counseling PLLC
• Dr Patel & Associates, PA
• Dr. Cameron and Associates of Indian Trail PLLC

• Nursing Home Administrator in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Nursing Home Administrator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.