Amanda Dixon

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001832 Issued in WV

Practice address

3878 Mount Pleasant St NW Apt E
North Canton, OH 44720-4778

Phone

(330) 714-8937

NPI assigned

Dec 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1740827492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 MOUNT PLEASANT ST NW APT E",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204778",
            "telephone_number": "330-714-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 MOUNT PLEASANT ST NW APT E",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204778",
            "telephone_number": "330-714-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "2488 Marlborough Dr",
            "city": "Uniontown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446858188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Discount Drug Mart Inc
• Robert N Disimone, MD
• Nancy A Dittman, PT
• Nancy Ditzel
• Hemlata S Dixit, OTR
• Erin Dixon, OTR/L
• Vladimir Djuric, MD
• Katherine Dockus
• Janice L Dodd, CCC-SLP
• Linda L Dogoda, OTA

• Athletic Trainer in North Canton, OH
• Providers in North Canton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.