Active NPI
Leslie Dixon, MA
- Audiologist
- Hermitage, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT-001085-L
- Practice address
- 102 N Keel Ridge Rd
Hermitage, PA 16148-3440 - Phone
- (800) 471-8592
- NPI assigned
- Jun 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT-001085-L | PA | Primary |
Addresses
Primary practice location
102 N Keel Ridge Rd
Hermitage, PA 16148-3440
Mailing address
102 N Keel Ridge Rd
Hermitage, PA 16148-3440
Phone (800) 471-8592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0746376 | Medicaid | OH | |
| 0018232190001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000586 | OH | Practitioner - Qualified Audiologist | 0446245781 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Medical Inc
Practice addresses (Care Compare)
575 White Pond Dr
Suite a
Akron, OH 44320-1184
Phone (330) 835-1629
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.57 of 100
- Quality
- 58.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-001085-L | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Inc | Current | Accepting new patients | |
| Onsight Health Care LLC | Current | Accepting new patients | |
| Onsight Health Care, LLC | Current | Accepting new patients | |
| Onsight Health Care LLC | Current | Accepting new patients | |
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current | Accepting new patients |
| Special Care Hearing of Pennsylvania, LLC | Audiologist | Current | Accepting new patients |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 128
Louisville, KY 40243
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031
575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765
1020 Green Ave
Altoona, PA 16601
Phone 412963915010149
102 N Keel Ridge Rd
Hermitage, PA 16148
Phone (724) 347-0591
639 Red Lion Rd
Huntingdon Vy, PA 19006
303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708
Interoperability endpoints
- leslie.dixon.d1.p17@direct.360care.nextgenshare.com
- leslie.dixon.p19@direct.360care.nextgenshare.com
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.
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- NPI 1023249232
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- NPI 1124445424
-
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- NPI 1073122974
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- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1790780583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N KEEL RIDGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483440",
"telephone_number": "800-471-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N KEEL RIDGE RD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483440",
"telephone_number": "800-471-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LESLIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT-001085-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0746376",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018232190001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.