Individual provider Active NPI

Maria Isabelle de Leon Dixon, FNP-C

  • Occupational Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1841901659
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
F11220018 Issued in NC
Practice address
719 Green Valley Rd Ste 101
Greensboro, NC 27408-7022
Phone
(336) 832-3600
NPI assigned
Dec 13, 2022
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11220018 NC
Occupational Health Nurse Practitioner 363LX0106X F11220018 NC Primary

Addresses

Primary practice location

719 Green Valley Rd Ste 101
Greensboro, NC 27408-7022

Mailing address

719 Green Valley Rd Ste 101
Greensboro, NC 27408-7022
Phone (336) 832-3600

Other practice location 1

6100 W Friendly Ave
Greensboro, NC 27410-4160
Phone (336) 292-9952

Other names 1

  • Ms. Maria Isablelle Roldan De Leon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241025002763 NC Practitioner - Nurse Practitioner 2163955345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11220018NCMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 12, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Family CurrentSince Jan 12, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2024 Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

719 Green Valley Rd
Ste 101
Greensboro, NC 27408
Phone (336) 370-0277

Organizations & group practices 6

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1841901659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087022",
            "telephone_number": "336-832-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087022",
            "telephone_number": "336-832-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 W Friendly Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274104160",
            "country_code": "US",
            "telephone_number": "336-292-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARIA",
        "middle_name": "ISABELLE DE LEON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-04-04",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F11220018",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NC",
            "license": "F11220018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DE LEON",
            "middle_name": "ISABLELLE ROLDAN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.