Individual provider Active NPI

Galina S Dixon, NP

  • Adult Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1801125125
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP 60268401 Issued in WA
Practice address
10564 5TH Ave NE Ste 103
Seattle, WA 98125-7200
Phone
(206) 339-1434
Fax
(360) 736-0921
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00263000 NJ
Adult Health Nurse Practitioner 363LA2200X AP 60268401 WA Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 103
Seattle, WA 98125-7200

Mailing address

PO Box 415
Edmonds, WA 98020-0415
Phone (206) 399-1434

Other practice location 1

16319 48th Ave W # 7
Edmonds, WA 98026-4809
Phone (360) 736-0928

Other practice location 2

3240 14th Ave NW
Olympia, WA 98502-8509
Phone (360) 866-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720002664 WA Practitioner - Nurse Practitioner 1456664432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00263000NJMDAdult Health Nurse Practitioner
AP 60268401WAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1801125125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980200415",
            "telephone_number": "206-399-1434",
            "fax_number": "855-750-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-339-1434",
            "fax_number": "360-736-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16319 48th Ave W # 7",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980264809",
            "country_code": "US",
            "telephone_number": "360-736-0928",
            "fax_number": "360-736-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3240 14th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028509",
            "country_code": "US",
            "telephone_number": "360-866-7990",
            "fax_number": "360-866-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "GALINA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00263000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP 60268401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.