Individual provider Active NPI

Dixie Laborde

  • Specialist
  • New York, NY
National Provider Identifier
1790216943
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
854241 Issued in NY
Practice address
247 W 145TH St
Apt 3F
New York, NY 10039-4004
Phone
(646) 271-1475
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 854241 NY Primary

Addresses

Primary practice location

247 W 145TH St
Apt 3F
New York, NY 10039-4004

Mailing address

247 W 145TH St
Apt3F
New York, NY 10039-4004
Phone (646) 271-1475

Other names 1

  • Dixie Laborde Professional name

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

State licenses

LicenseStateTypeSpecialty
854241NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1790216943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 W 145TH ST",
            "address_2": "APT3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100394004",
            "telephone_number": "646-271-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W 145TH ST",
            "address_2": "APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100394004",
            "telephone_number": "646-271-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "DIXIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "854241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "LABORDE",
            "credential": "MS.,ED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.