Mary E. Dix

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

110 Grogan LN
Lake Charles, LA 70615-2932

Phone

(337) 430-4680

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary E. Bills Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1801345533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 5TH AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017911",
            "telephone_number": "337-302-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GROGAN LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706152932",
            "telephone_number": "337-430-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX",
        "first_name": "MARY",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BILLS",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Janelle Disney, PHD
• Anissa M Disnuke, MSN, APRN, FNP-C
• Diversified Health Care-Lake Charles, LLC
• Divinity Cares Incorporation
• Divinitycares, Incorporation
• Michelle Dixson
• Hieu Trong DO, MD
• Rusty John Dodd
• Mark Lance Doiron, MD
• Natalee Ann Donahue

• All providers in Lake Charles, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.