Individual provider Active NPI

Pauline Dixon

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1861936296
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9299050 Issued in FL
Practice address
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone
(866) 389-2727
NPI assigned
Dec 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9299050 FL
Family Nurse Practitioner 363LF0000X 9299050 FL Primary

Addresses

Primary practice location

12280 Lake Underhill Rd
Orlando, FL 32825-5009

Mailing address

18232 Thornhill Grand Cir
Orlando, FL 32820-2731
Phone (407) 334-9645

Other practice location 1

5058 Conway Rd
Orlando, FL 32812-1258
Phone (239) 533-5700

Other practice location 2

11300 Lindbergh Blvd Ste 107A
Fort Myers, FL 33913-8827
Phone (239) 533-5570

Other practice location 3

5111 Ehrlich Rd Ste 110
Tampa, FL 33624-2075
Phone (239) 533-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170627002073 FL Practitioner - Nurse Practitioner 4688943145 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9299050FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Aug 1, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC Nurse Practitioner CurrentSince Aug 25, 2021 Accepting new patients
Rmed LLC CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Aug 1, 2021 Accepting new patients

Locations

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

1127 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 536-1865

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1480809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1861936296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18232 THORNHILL GRAND CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328202731",
            "telephone_number": "407-334-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255009",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5058 Conway Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328121258",
            "country_code": "US",
            "telephone_number": "239-533-5700",
            "fax_number": "844-650-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Lindbergh Blvd Ste 107A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339138827",
            "country_code": "US",
            "telephone_number": "239-533-5570",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5111 Ehrlich Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242075",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "PAULINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9299050",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9299050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.