Individual provider Active NPI

Leslie Dixon, MA

  • Audiologist
  • Hermitage, PA
National Provider Identifier
1790780583
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT-001085-L Issued in PA
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

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0746376MedicaidOH
0018232190001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 5890765481, 80 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
AT-001085-LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Onsight Health Care LLC Current Accepting new patients
Onsight Health Care, LLC CurrentSince Jul 12, 2016 Accepting new patients
Onsight Health Care LLC CurrentSince Jul 12, 2016 Accepting new patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Oct 24, 2018 Accepting new patients
Special Care Hearing of Pennsylvania, LLC Audiologist CurrentSince Oct 24, 2018 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

  • Direct secure messaging: leslie.dixon.d1.p17@direct.360care.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.