Individual provider Active NPI

Roshanda J. Dixon, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1811600281
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018776 Issued in KY
Practice address
10219 Riverstone Cir
Louisville, KY 40229-5228
Phone
(800) 484-5422
NPI assigned
Jan 2, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018776 KY Primary

Addresses

Primary practice location

10219 Riverstone Cir
Louisville, KY 40229-5228

Mailing address

10219 Riverstone Cir
Louisville, KY 40229-5228
Phone (502) 807-5107

Other practice location 1

306 W Main St Ste 512
Frankfort, KY 40601-1840
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230327000786 KY Practitioner - Nurse Practitioner 4082088455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Havehope Counseling and Consulting PLLCGroup PAC ID 7517295405, 3 clinicians

Practice addresses (Care Compare)

1448 S 15TH St
Louisville, KY 40210-1838
Phone (502) 290-3050

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
80.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Associates PC Psychiatric/Mental Health CurrentSince Apr 10, 2023 Accepting new patients
Havehope Counseling & Consulting, PLLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Nov 14, 2024 Accepting new patients

Locations

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

1448 S 15th St
Louisville, KY 40210
Phone (502) 290-3050

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1811600281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 RIVERSTONE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295228",
            "telephone_number": "502-807-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 RIVERSTONE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295228",
            "telephone_number": "800-484-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 W Main St Ste 512",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406011840",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ROSHANDA",
        "middle_name": "J.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.