Individual provider Active NPI

Lindsay Breanne Dixon, NP

  • Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1730724972
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-020406 Issued in IL
Practice address
751 N Rutledge St
Springfield, IL 62702-4968
Phone
(217) 545-8000
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 209-020406 IL Primary

Addresses

Primary practice location

751 N Rutledge St
Springfield, IL 62702-4968

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000

Other practice location 1

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-020406ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 10, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 10, 2021 Accepting new patients
Skyline Wound Care Midwest LLC CurrentSince Sep 1, 2023 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Jan 26, 2023 Accepting new patients
Orthopaedic Center of Illinois Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients
Springfield Treatment Center, LLC Past Accepting new patients

Locations

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

201 E Madison St
Ste 328
Springfield, IL 62702

Organizations & group practices 7

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1730724972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST STE 328",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Koke Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627119252",
            "country_code": "US",
            "telephone_number": "217-547-9100",
            "fax_number": "217-547-9236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LINDSAY",
        "middle_name": "BREANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-020406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.