Jenelle Marie Dixon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1228 Dunham St SE
Grand Rapids, MI 49506-2630

Phone

(616) 802-8008

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861048811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 DUNHAM ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062630",
            "telephone_number": "616-802-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 DUNHAM ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062630",
            "telephone_number": "616-802-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JENELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.comlivserv.com",
            "affiliation": "Y",
            "affiliationName": "Community Living Services of Oakland County",
            "address_1": "1228 Dunham St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495062630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Divine Hands Doula Care
• Divine Mind Counseling and Consulting Services
• Nicole Kristine Divita
• Annessa M Dix, OD
• Janelle Dixon
• Jodie M Dixon, PT
• Mercy Natasha-Naisenya Dixon, MD
• Alma Dizdarevic, DO
• DJ Edgerle, DDS, PC
• Mounir Djemil, MD

• Case Manager/Care Coordinator in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.