Individual provider Active NPI

Chyanne Dix, APRN

  • Family Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1811508567
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031575 Issued in PA
Practice address
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone
(866) 389-2727
NPI assigned
Aug 14, 2020
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF95033245 CA
Family Nurse Practitioner 363LF0000X 11008644 FL
Family Nurse Practitioner 363LF0000X F355815-01 NY
Family Nurse Practitioner 363LF0000X TELE299388 AZ
Family Nurse Practitioner 363LF0000X 12.016484 CT
Family Nurse Practitioner 363LF0000X 53-85012-021 KS
Family Nurse Practitioner 363LF0000X 40605 TN
Family Nurse Practitioner 363LF0000X 0024191609 VA
Family Nurse Practitioner 363LF0000X 101.0138426TELE VT
Family Nurse Practitioner 363LF0000X 1156028 TX
Family Nurse Practitioner 363LF0000X SP031575 PA Primary

Addresses

Primary practice location

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616

Mailing address

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616

Other practice location 1

3607 S Main St
Stafford, TX 77477-5406
Phone (512) 843-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210114002198 FL Practitioner - Nurse Practitioner 8527471333 Reassigns benefits to 4 organizations
I20240813004338 TX Practitioner - Nurse Practitioner 8527471333 Reassigns benefits to 1 organization
I20251105001927 CA Practitioner - Nurse Practitioner 8527471333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Suite 300
Bloomfield, NJ 07003-4378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95033245CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 25, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Nov 18, 2020 Accepting new patients
Circle Medical Care of California CurrentSince Aug 23, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Family CurrentSince Oct 25, 2023 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Oct 25, 2023 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 25, 2023 Accepting new patients
Family Medicine Center of Austin, P.a. CurrentSince Jul 1, 2024 Accepting new patients
KSP Health PLLC Past Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

8905 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 393-7542

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

1106 Clayton Ln
Ste 102W
Austin, TX 78723
Phone (512) 453-7356

4810B Spicewood Springs Rd
Austin, TX 78759
Phone (512) 346-5796

2701 S Highway 183
Ste B
Leander, TX 78641
Phone (512) 259-5111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEECD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1811508567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102616",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3607 S Main St",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774775406",
            "country_code": "US",
            "telephone_number": "512-843-3337",
            "fax_number": "833-540-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIX",
        "first_name": "CHYANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95033245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355815-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TELE299388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.016484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85012-021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0138426TELE",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1156028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.